Mary Mavencamp, LPN
NPI #1033734470 in Twin Falls, Idaho
Provider Information
- NPI Number
- 1033734470
- Entity Type
- Individual
- Name
- Mary Mavencamp, LPN
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Licensed Practical Nurse
- Credential
- LPN
- Enumeration Date
- Jun 11, 2020
- Last Updated
- Jun 11, 2020
Practice Location
- Address
- 260 2ND AVE E
- City
- Twin Falls
- State
- Idaho
- ZIP Code
- 83301-6242
- Phone
- (208) 732-0959
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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