NPI 1003980210

Victoria Eleanor Ryan, PAC

Practitioner Student in an Organized Health Care Education/Training Program Pocatello, ID

Practice location

Address: 990 Cesar Chavez Ave, Pocatello, ID 83209-0001
Phone: (208) 282-2330

Registered specialties

Student in an Organized Health Care Education/Training Program Primary

Student, Health Care Taxonomy 390200000X Licence PA-626 (ID)

Other Student in an Organized Health Care Education/Training Program providers in Idaho →

Registry record

NPI: 1003980210
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Nov 2006
Record last updated: 10 Sep 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.