JACLYN GOLUS MENTZER

BOISE, ID
NPI1487899365
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: ID  PA-773)
Additional Taxonomies207N00000X Dermatology
(Licence: ID  M7247)
363A00000X Physician Assistant
(Licence: ID  PA773)
Enumeration Date2008-12-08
Last Update Date2020-01-27
Business Address
Mrs. JACLYN GOLUS MENTZER P.A.
388 E. PARKCENTER BLVD. GEM STATE DERMATOLOGY
BOISE, ID 83706
Phone number: 208-424-9101
Mailing Address
Mrs. JACLYN GOLUS MENTZER P.A.
388 E. PARKCENTER BLVD. GEM STATE DERMATOLOGY
BOISE, ID 83706
Phone number: 208-424-9101