Desiree F Welty

NPI #1851558126 in Twin Falls, Idaho

Provider Information

NPI Number: 1851558126
Entity Type: Individual
Name: Desiree F Welty
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Contractor
Enumeration Date: May 22, 2008
Last Updated: May 22, 2008

Practice Location

Address: 1059 PINEWOOD CIR
City: Twin Falls
State: Idaho
ZIP Code: 83301-3338
Phone: (208) 733-1775

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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