SUSAN JEROME

BOISE, ID
NPI1265650238
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: HI  NP234-A)
Enumeration Date2007-04-23
Last Update Date2007-07-08
Business Address
-- SUSAN JEROME NP
1910 UNIVERSITY DR MS-1351
BOISE, ID 83725-0002
Phone number: 208-426-1459
Mailing Address
-- SUSAN JEROME NP
1910 UNIVERSITY DR MS-1351
BOISE, ID 83725-0002
Phone number: 208-426-1459
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