MISTY NEISEN

BOISE, ID
NPI1023409265
Former NameMISTY LAMBING
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: ID  PA1189)
Enumeration Date2015-02-10
Last Update Date2022-03-28
Business Address
MISTY NEISEN
100 E IDAHO ST
BOISE, ID 83712-6267
Phone number: 208-381-2711
Mailing Address
MISTY NEISEN
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-2222
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