Brianne Hentrup

NPI #1508289828 in Twin Falls, Idaho

Provider Information

NPI Number: 1508289828
Entity Type: Individual
Name: Brianne Hentrup
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Enumeration Date: Jan 22, 2014
Last Updated: Jan 22, 2014

Practice Location

Address: 233 GOODING ST N
City: Twin Falls
State: Idaho
ZIP Code: 83301-6179
Phone: (208) 736-5048

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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