NPI 1649439373

Carolyn Diane Swan

Practitioner Home Modifications Contractor Juliaetta, ID

Practice location

Address: 417 Main St, Juliaetta, ID 83535-5003
Phone: (208) 276-3174

Registered specialties

Home Modifications Contractor Primary

Other Service Providers Taxonomy 171WH0202X Licence CFH20165 (ID)

Other Contractor providers in Idaho →

Registry record

NPI: 1649439373
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Jun 2008
Record last updated: 6 Jun 2008

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.