JOSE ANTONIO CORONADO

BOISE, ID
NPI1720802218
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: ID  7161377)
Enumeration Date2024-11-11
Last Update Date2024-12-27
Business Address
JOSE ANTONIO CORONADO APRN-CNP
6051 W EMERALD ST
BOISE, ID 83704-8969
Phone number: 208-302-5150
Mailing Address
JOSE ANTONIO CORONADO APRN-CNP
PO BOX 190930
BOISE, ID 83719-0930
Phone number: 208-367-5170
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