Graduated: 2023
NPI: 1356124432
Practice Locations (3)
VANNVEI LLC
2841 JUNIPER DR, SUITE 2
LEWISTON, ID 835014719
2088489001
ST JOSEPH HOSPITAL LLC
415 6TH ST
LEWISTON, ID 835012431
2087432511
ST JOSEPH HOSPITAL LLC
1242 11TH ST
CLARKSTON, WA 994032815
5097582523
Source: CMS National Downloadable File, September 2026.