Vickey Schmadeka

NPI #1003208638 in Boise, Idaho

Provider Information

NPI Number: 1003208638
Entity Type: Individual
Name: Vickey Schmadeka
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Contractor
Enumeration Date: Feb 18, 2015
Last Updated: Feb 18, 2015

Practice Location

Address: 8565 W STONEHAVEN ST
City: Boise
State: Idaho
ZIP Code: 83704-7079
Phone: (541) 805-0028

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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