PSYCHIATRY 121 PLLC

BOISE, ID
NPI1366206252
Entity TypeOrganization
Authorized ContactANGELA G HERNANDEZ
Manager
949-281-9132
Organization Subpart ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date2024-02-12
Last Update Date2024-02-12
Business Address
PSYCHIATRY 121 PLLC
1010 W HAYS ST
BOISE, ID 83702-5435
Phone number: 949-281-9132
Mailing Address
PSYCHIATRY 121 PLLC
1010 W HAYS ST
BOISE, ID 83702-5435
Phone number:
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