MCKENZIE JO DECKER

POCATELLO, ID
NPI1245801141
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: ID  58683)
Enumeration Date2021-07-02
Last Update Date2024-02-14
Business Address
MCKENZIE JO DECKER DNP
2850 OLYMPUS
POCATELLO, ID 83201
Phone number: 208-239-3815
Mailing Address
MCKENZIE JO DECKER DNP
2850 OLYMPUS
POCATELLO, ID 83201
Phone number: 208-239-3815