JOSHUA J MACKIE

BOISE, ID
NPI1104055367
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: ID  RNA755)
Enumeration Date2009-07-09
Last Update Date2009-07-09
Business Address
JOSHUA J MACKIE CRNA
338 E BANNOCK ST
BOISE, ID 83712-6207
Phone number: 208-336-0895
Mailing Address
JOSHUA J MACKIE CRNA
338 E BANNOCK ST
BOISE, ID 83712-6207
Phone number: 208-336-0895
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