JEFFREY KENNETH WEESE

BOISE, ID
NPI1689226177
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: ID  61065)
Enumeration Date2019-07-15
Last Update Date2019-07-24
Business Address
JEFFREY KENNETH WEESE NP
10583 W LAKE HAZEL RD
BOISE, ID 83709
Phone number: 208-302-5950
Mailing Address
JEFFREY KENNETH WEESE NP
3340 E GOLDSTONE DR.
MERIDIAN, ID 83642
Phone number: 208-302-5900