Katie E Dallas

NPI #1619482163 in Caldwell, Idaho

Provider Information

NPI Number: 1619482163
Entity Type: Individual
Name: Katie E Dallas
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Health Educator
Enumeration Date: Dec 6, 2017
Last Updated: Dec 6, 2017

Practice Location

Address: 1906 FAIRVIEW AVE
City: Caldwell
State: Idaho
ZIP Code: 83605-5407
Phone: (208) 402-0658

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Health Educator	174H00000X	Primary

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