Most Relevant Information
Provider Data
| NPI Number: | 1003568999 |
| Provider Name: | CARRIE BRIDGES |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/21/2022 |
| Last Updated: | 01/21/2022 |
Provider Practice Location
451 EASTLAND DR STE 7
TWIN FALLS
ID
833017454
Practice Location Phone/Fax
| Phone: | 2082587681 |
| Fax: |
Provider Mailing Location
451 EASTLAND DR STE 7
TWIN FALLS
ID
833017454
Provider Mailing Phone/Fax
| Phone: | 2082587681 |
| Fax: |