Heather Osenga

NPI #1548623366 in Hailey, Idaho

Provider Information

NPI Number
1548623366
Entity Type
Individual
Name
Heather Osenga
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Technician, Other
Enumeration Date
Mar 30, 2016
Last Updated
Mar 30, 2016

Practice Location

Address
1411 BLUE LAKE DR
City
Hailey
State
Idaho
ZIP Code
83333-4601
Phone
(208) 481-1029

Specialties & Taxonomy Codes

Specialty
Technician, Other

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