Mary Mavencamp, LPN

Practice location

Address

260 2nd Ave E, Twin Falls, ID 83301-6242

Phone

(208) 732-0959

Fax

(208) 732-7480

Registered specialties

Registry record

NPI

1033734470

Entity type

Individual

Sex (as registered)

Female

NPI issued

11 Jun 2020

Record last updated

11 Jun 2020

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.