TEA HASANOVIC

FRUITLAND, ID
NPI1073119780
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: ID  PA-1978)
Enumeration Date2020-12-08
Last Update Date2023-04-17
Business Address
TEA HASANOVIC PA-C
2101 N WHITLEY DR
FRUITLAND, ID 83619-2132
Phone number: 208-452-5999
Mailing Address
TEA HASANOVIC PA-C
2101 N WHITLEY DR
FRUITLAND, ID 83619-2132
Phone number: 208-452-5999
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