DIANA SAN JUAN SHIMKO

BOISE, ID
NPI1033159439
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: ID  RNA664)
Enumeration Date2006-06-07
Last Update Date2012-06-06
Business Address
-- DIANA SAN JUAN SHIMKO CRNA
1055 N CURTIS RD
BOISE, ID 83706-1352
Phone number: 208-367-6416
Mailing Address
-- DIANA SAN JUAN SHIMKO CRNA
6397 S OLIVE ST
CENTENNIAL, CO 80111-4632
Phone number: 407-616-0295
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