STACI JAE THOMAS

BOISE, ID
NPI1013739838
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LW0102X Nurse Practitioner, Women's Health
(Licence: ID  5961472)
Enumeration Date2024-10-31
Last Update Date2024-11-12
Business Address
STACI JAE THOMAS WHNP-BC
100 E IDAHO ST STE 302
BOISE, ID 83712-6269
Phone number: 208-343-7501
Mailing Address
STACI JAE THOMAS WHNP-BC
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number:
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