KATINA ROSS

BOISE, ID
NPI1588288336
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: ID  64650)
Enumeration Date2020-06-07
Last Update Date2020-12-29
Business Address
KATINA ROSS AGNP-C
5966 W CURTISIAN AVE
BOISE, ID 83704-8801
Phone number: 208-302-5400
Mailing Address
KATINA ROSS AGNP-C
3340 E GOLDSTONE DR
MERIDIAN, ID 83642-1026
Phone number: 208-302-5400
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