JADE VANTREASE

BOISE, ID
NPI1225897408
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: ID  MRM-2361)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2024-03-18
Last Update Date2024-04-30
Business Address
JADE VANTREASE MD
500 W FORT ST # 111R
BOISE, ID 83702-4599
Phone number: 208-422-1000
Mailing Address
JADE VANTREASE MD
500 W FORT ST # 111R
BOISE, ID 83702-4599
Phone number: