ERIN HAGEN

BOISE, ID
NPI1346970399
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: ID  PA-2331)
Enumeration Date2022-06-13
Last Update Date2022-10-19
Business Address
ERIN HAGEN
115 W MAIN ST STE 101
BOISE, ID 83702-7304
Phone number: 208-381-3915
Mailing Address
ERIN HAGEN
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: