Individual provider · NPI-1
Dandy Rae Aaron, IDMT
Military Health Care Provider, Independent Duty Medical Technicians · Mountain Home, ID
NPI number1093943870
StatusActive
Last updated in NPPESMay 3, 2011
Details
- NPI
- 1093943870
- Entity type
- Individual (NPI-1)
- Name
- Dandy Rae Aaron
- Credential
- IDMT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 30, 2009
- Last updated
- May 3, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1710I1003X | Military Health Care Provider, Independent Duty Medical Technicians | – | – | Yes |
Practice location
90 Hope Drive Bldg 6000Mountain Home, ID 83648-1062
Phone 208-828-7313
Mailing address
90 Hope Drive Bldg 6000Mountain Home, ID 83648-1062
Phone 208-828-7313
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