Idaho
Division of Occupational and Professional Licenses
NIKI NAOMI MANNING
Board Of Medicine
License number
LRT-1827
Date granted
08/22/2014
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
11807 W CARLISLE BAY DR STAR ID 83669
idaholicensing.com
ID 48360248
LAST UPDATED 2024-04-16 17:20:27 UTC
LAST UPDATED 2024-04-16 17:20:27 UTC
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