EDIE LUSTIG

Private Vehicle

NPI: 1164988663Individual

Specialties, Licenses & Credentials

Private VehiclePrimary

Private Vehicle

Code: 347C00000X

WA116016B(ID)

Contact & Hours

Address: 711 N STATE ST
GRANGEVILLE, ID 83530
Phone: (208) 507-2160

Quick Facts

NPI: 1164988663
Entity Type: Individual
Gender: Female
Medicare: Not confirmed
Specialties: 1
Locations: 1

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