MARK ENGIBOUS

BOISE, ID
NPI1083151146
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: ID  54877)
Enumeration Date2017-01-27
Last Update Date2017-01-27
Business Address
-- MARK ENGIBOUS CRNA
338 E BANNOCK ST
BOISE, ID 83712-6207
Phone number: 208-336-0895
Mailing Address
-- MARK ENGIBOUS CRNA
338 E BANNOCK ST
BOISE, ID 83712-6207
Phone number: 208-336-0895
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