Mary Clarice Callister

NPI #1780301671 in Boise, Idaho

Provider Information

NPI Number: 1780301671
Entity Type: Individual
Name: Mary Clarice Callister
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Home Health
Enumeration Date: Oct 21, 2022
Last Updated: Oct 21, 2022

Practice Location

Address: 5670 N KERCLIFFE CT
City: Boise
State: Idaho
ZIP Code: 83704-2050
Phone: (208) 608-8114

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health	251E00000X	Primary

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