NPI 1366943664

Alyssa Smith

Practitioner Other Technician Meridian, ID

Practice location

Address: 1351 W Pine Ave, Meridian, ID 83642-5031
Phone: (208) 895-6431
Mailing address: 197 E Mallard Dr APT 130, Boise, ID 83706-6619

Registered specialties

Other Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247200000X

Other Technician, Other providers in Idaho →

Registry record

NPI: 1366943664
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Feb 2018
Record last updated: 22 Feb 2018

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.