MITZI M CIESLAK

BOISE, ID
NPI1326388653
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: ID  N25439)
Enumeration Date2013-02-23
Last Update Date2013-02-23
Business Address
-- MITZI M CIESLAK NP
100 E IDAHO ST STE 200
BOISE, ID 83712-6267
Phone number: 208-381-7360
Mailing Address
-- MITZI M CIESLAK NP
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-2222