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Makenna Leigh
Student in an Organized Health Care Education/Training Program in Moscow, Idaho
NPI 1629645965

Makenna Leigh is a Student in an Organized Health Care Education/Training Program based in Moscow, ID. Makenna Leigh practices in Moscow, ID. The NPI Number for Makenna Leigh is 1629645965 and holds a License No. (Idaho).

The current practice location address for Makenna Leigh is 875 Perimeter Dr, Moscow, ID and can be reached out via phone at 208-885-6111.

Location: 875 Perimeter Dr, Moscow, ID, 83843-2141
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629645965
Provider Name
Makenna Leigh
Credential
Provider Entity Type
Individual
Gender
Female
Address
875 Perimeter Dr, Moscow, ID, 83843-2141
Phone Number
208-885-6111
Fax Number
Provider Enumeration Date
06/07/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
875 Perimeter Dr
City
Moscow
State
Idaho
Zip
83844-9803
Phone Number
208-885-6111
Fax Number
person
Provider Business Mailing Address Details
Address
875 Perimeter Dr
City
Moscow
State
Idaho
Zip
83844-9803
Phone Number
208-885-6111
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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