SIS E OSTOLASA

MERIDIAN, ID
NPI1013952761
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant Medical
(Licence: ID  PA386)
Enumeration Date2006-06-17
Last Update Date2016-11-15
Business Address
SIS E OSTOLASA PA
3025 W CHERRY LANE STE B
MERIDIAN, ID 83642
Phone number: 208-302-6450
Mailing Address
SIS E OSTOLASA PA
3340 E GOLDSTONE WAY
MERIDIAN, ID 83642
Phone number: 208-302-6450
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