BRENNEN PHAN

BOISE, ID
NPI1619861382
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: ID  73136)
Enumeration Date2025-06-05
Last Update Date2025-06-05
Business Address
Mr. BRENNEN PHAN RN
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-706-5850
Mailing Address
Mr. BRENNEN PHAN RN
1850 S PELICAN AVE
MERIDIAN, ID 83642-4747
Phone number: 208-794-2175
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