JIE YAN

BOISE, ID
NPI1265820229
Other NameJENNY YAN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: ID  PA-1218)
Enumeration Date2014-12-29
Last Update Date2015-02-24
Business Address
-- JIE YAN PA
12273 W MCMILLAN RD
BOISE, ID 83713-0555
Phone number: 208-367-6330
Mailing Address
-- JIE YAN PA
3340 E GOLDSTONE WAY
MERIDIAN, ID 83642-1026
Phone number: 208-367-6330
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