ANGELA UPDIKE, CMT

Specialist

Active Individual
NPI: 1518155019

Practice Address

168 ROSEMARY LOOP # 2
Priest Lake, ID 83856

Phone: (208) 304-0383

Specialties

Specialty Code Primary License
Specialist 174400000X Yes 0019006484 (VA)

Frequently Asked Questions

NPI 1518155019 is the National Provider Identifier for ANGELA UPDIKE, CMT, a Specialist provider located in Priest Lake, ID. This NPI was enumerated on October 9, 2007.
ANGELA UPDIKE, CMT practices at 168 ROSEMARY LOOP # 2, Priest Lake, ID 83856.

Quick Facts

NPI
1518155019
Type
Individual
Enumerated
Oct 9, 2007
Last Updated
Oct 9, 2007

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