Alice K Ash, CST

NPI #1821314170 in Burley, Idaho

Provider Information

NPI Number: 1821314170
Entity Type: Individual
Name: Alice K Ash, CST
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Technician, Other
Credential: CST
Enumeration Date: Apr 12, 2010
Last Updated: Apr 12, 2010

Practice Location

Address: 30 S 200 W
City: Burley
State: Idaho
ZIP Code: 83318-5018
Phone: (208) 431-1718

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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