JAKE KOTR MONAGHAN

BOISE, ID
NPI1588408702
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: ID  73209)
Enumeration Date2024-06-21
Last Update Date2024-06-21
Business Address
Mr. JAKE KOTR MONAGHAN FNP-C
1475 N COLE RD
BOISE, ID 83704-8537
Phone number: 208-809-2880
Mailing Address
Mr. JAKE KOTR MONAGHAN FNP-C
10482 W CARLTON BAY DR
GARDEN CITY, ID 83714-5143
Phone number: