Michael Deschene JR.

NPI #1326464991 in Kuna, Idaho

Provider Information

NPI Number
1326464991
Entity Type
Individual
Name
Michael Deschene JR.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Licensed Practical Nurse
Enumeration Date
Mar 6, 2014
Last Updated
Mar 6, 2014

Practice Location

Address
641 E WILD LILAC ST
City
Kuna
State
Idaho
ZIP Code
83634-2388
Phone
(208) 577-1556

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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