THERESA BALCERAK

BOISE, ID
NPI1043258619
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: ID  NP297A)
Enumeration Date2006-06-03
Last Update Date2007-07-08
Business Address
-- THERESA BALCERAK NP
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-2222
Mailing Address
-- THERESA BALCERAK NP
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-2222
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