SEAN RAINWATER

BOISE, ID
NPI1326720491
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: ID  PA-2643)
Enumeration Date2023-08-07
Last Update Date2023-12-12
Business Address
SEAN RAINWATER
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-5015
Mailing Address
SEAN RAINWATER
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number:
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