NPI 1851558126

Desiree F Welty

Practitioner Contractor Twin Falls, ID

Practice location

Address: 1059 Pinewood Cir, Twin Falls, ID 83301-3338
Phone: (208) 733-1775
Fax: (208) 733-1775

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X Licence 50298 (ID)

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Registry record

NPI: 1851558126
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 May 2008
Record last updated: 22 May 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.