MCKENZIE HART

BOISE, ID
NPI1578059143
Former NameMCKENZIE LEE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2018-07-07
Last Update Date2018-07-07
Business Address
Mrs. MCKENZIE HART
4334 S ALEUT WAY
BOISE, ID 83709-6033
Phone number: 208-521-8370
Mailing Address
Mrs. MCKENZIE HART
4334 S ALEUT WAY
BOISE, ID 83709-6033
Phone number: 208-521-8370