KRYSTAN WELBORN

BOISE, ID
NPI1346868163
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: ID  8461874)
Additional Taxonomies363A00000X Physician Assistant
Enumeration Date2020-07-08
Last Update Date2024-11-08
Business Address
KRYSTAN WELBORN
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-5500
Mailing Address
KRYSTAN WELBORN
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: