LARESA M JANOUSEK

BOISE, ID
NPI1013949155
Other NameLARESA DAVIS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LN0000X Nurse Practitioner Neonatal
(Licence: ID  NP749A)
Enumeration Date2006-07-07
Last Update Date2011-04-08
Business Address
LARESA M JANOUSEK NP
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-2222
Mailing Address
LARESA M JANOUSEK NP
190 E BANNOCK ST
BOISE, ID 83712
Phone number: 208-381-2222
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