JAMIE BROOKE PETERSON

BOISE, ID
NPI1487078911
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: ID  PA-1236)
Enumeration Date2014-02-04
Last Update Date2024-10-22
Business Address
JAMIE BROOKE PETERSON PA-C
10394 W HENRYS LAKE DR
BOISE, ID 83709-6283
Phone number: 208-440-0255
Mailing Address
JAMIE BROOKE PETERSON PA-C
1325 NE 7TH ST
GRANTS PASS, OR 97526-1358
Phone number: 541-460-5331
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