ALEXANDRIA RENEE MCUNE

FRUITLAND, ID
NPI1356075030
Former NameALEXANDRIA RENEE VAN HALDER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: ID  PA-2365)
Enumeration Date2022-07-11
Last Update Date2022-11-01
Business Address
ALEXANDRIA RENEE MCUNE PA-C
1210 NW 16TH ST
FRUITLAND, ID 83619-2202
Phone number: 208-452-8700
Mailing Address
ALEXANDRIA RENEE MCUNE PA-C
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: