Whalio Doctors

NPI 1346752813

Grace Traal Dillman, CNA

Practitioner Nurse's Aide Coeur D Alene, ID

Practice location

Address
1900 Northwest Blvd STE 210, Coeur D Alene, ID 83814-2788
Phone
(208) 665-5579
Mailing address
1304 E Garland Ave, Spokane, WA 99207-3038

Registered specialties

Nurse's Aide Primary
Nursing Service Related Providers Taxonomy 376K00000X Licence ID000024275E (ID)

Registry record

NPI
1346752813
Entity type
Individual
Sex (as registered)
Female
NPI issued
24 Oct 2017
Record last updated
24 Oct 2017

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.