DENISE LOUISE JANICEK

BOISE, ID
NPI1477509057
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: ID  RNA542)
Additional Taxonomies163W00000X Registered Nurse
(Licence: ID  N15758)
Enumeration Date2006-05-25
Last Update Date2016-08-03
Business Address
DENISE LOUISE JANICEK CRNA
338 E BANNOCK ST
BOISE, ID 83712-6207
Phone number: 208-336-0895
Mailing Address
DENISE LOUISE JANICEK CRNA
338 E BANNOCK ST
BOISE, ID 83712-6207
Phone number: 208-336-0895