NPI | 1710738968 |
---|---|
Entity Type | Organization |
Authorized Contact | JOANN HABBABA Patient Services Coordinator 208-731-9404 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
Enumeration Date | 2024-03-27 |
Last Update Date | 2024-07-03 |