JANIEL J GREEN

REXBURG, ID
NPI1114297660
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: ID  PA-957)
Enumeration Date2011-12-30
Last Update Date2011-12-30
Business Address
-- JANIEL J GREEN PA-C
36 PROFESSIONAL PLZ SUITE #102
REXBURG, ID 83440-2049
Phone number: 208-356-0234
Mailing Address
-- JANIEL J GREEN PA-C
36 PROFESSIONAL PLZ SUITE #102
REXBURG, ID 83440-2049
Phone number: 208-356-0234
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