JAY PHAN

TWIN FALLS, ID
NPI1669299152
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: ID  3561779)
Enumeration Date2024-09-25
Last Update Date2024-09-25
Business Address
JAY PHAN
419 SHOUP AVE W
TWIN FALLS, ID 83301-5028
Phone number: 209-996-1700
Mailing Address
JAY PHAN
604 LYNWOOD BLVD
TWIN FALLS, ID 83301-4133
Phone number:
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