MRS. Teressa Linda Durham

NPI #1942368543 in Hauser, Idaho

Provider Information

NPI Number: 1942368543
Entity Type: Individual
Name: MRS. Teressa Linda Durham
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Homemaker
Enumeration Date: Dec 5, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 11186 N HAUSER LAKE RD
City: Hauser
State: Idaho
ZIP Code: 83854-5638
Phone: (208) 457-1515

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Homemaker	376J00000X	Primary

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