CAROLYN JEAN SHOEMAKER

MOSCOW, ID
NPI1477856649
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant Medical
(Licence: ID  PA-879)
Enumeration Date2010-12-10
Last Update Date2024-07-19
Business Address
CAROLYN JEAN SHOEMAKER PA-C
719 S MAIN ST
MOSCOW, ID 83843-3041
Phone number: 208-883-1152
Mailing Address
CAROLYN JEAN SHOEMAKER PA-C
PO BOX 8007
MOSCOW, ID 83843-0507
Phone number: 208-882-4511