MARLO PICHARDO

BOISE, ID
NPI1699842021
Other NameMARLO SMITH
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: ID  PA-1898)
Additional Taxonomies363A00000X Physician Assistant
(Licence: FL  PA9102903)
Enumeration Date2006-11-29
Last Update Date2024-08-20
Business Address
MARLO PICHARDO PAC
2757 S GOSHEN WAY
BOISE, ID 83709-8506
Phone number: 208-740-8797
Mailing Address
MARLO PICHARDO PAC
2757 S GOSHEN WAY
BOISE, ID 83709-8506
Phone number: 087-408-7972