JONATHAN AMISSA

BOISE, ID
NPI1639714025
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy343900000X Non-emergency Medical Transport (VAN)
Enumeration Date2019-11-09
Last Update Date2019-11-09
Business Address
JONATHAN AMISSA
1573 S RIVERSTONE LN APT 303
BOISE, ID 83706-6542
Phone number: 208-805-9839
Mailing Address
JONATHAN AMISSA
1573 S RIVERSTONE LN APT 303
BOISE, ID 83706-6542
Phone number: 208-805-9839
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