MARK AARON PHELAN

BOISE, ID
NPI1457879975
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: ID  N-29179)
Enumeration Date2017-09-05
Last Update Date2022-07-21
Business Address
MARK AARON PHELAN RN
779 S. TENNYSON WAY
BOISE, ID 83709
Phone number: 208-724-1829
Mailing Address
MARK AARON PHELAN RN
779 S TENNYSON WAY
BOISE, ID 83709-7738
Phone number: 208-724-1829
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