IndividualActive
Ailee Justo
NPI 1083453187 · Student in an Organized Health Care Education/Training Program · Pocatello, ID
Provider details
- NPI number
- 1083453187
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Sex
- Female
- Sole proprietor
- No
- License
- 11885253-5402 (UT)
Specialties & taxonomies
Student, Health Care
Allopathic & Osteopathic Physicians
Practice location
921 S 8th Ave Stop 8253
Pocatello, ID 83209-0002
Phone: (208) 282-4726
Approximate (ZIP-level) locationGet directions
Mailing address
921 S 8th Ave Stop 8253
Pocatello, ID 83209-0002
Registry dates
- Enumerated
- 2024-05-20
- Last updated
- 2024-05-20
- Certified
- 2024-05-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.