MICHAEL BENJAMIN JARA

MERIDIAN, ID
NPI1548016082
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: ID  60757)
Enumeration Date2024-04-25
Last Update Date2024-04-25
Business Address
MICHAEL BENJAMIN JARA PMHNP
2020 S EAGLE RD
MERIDIAN, ID 83642-6707
Phone number: 208-518-0797
Mailing Address
MICHAEL BENJAMIN JARA PMHNP
2231 S COLORADO AVE
BOISE, ID 83706-4625
Phone number: 209-598-0092
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