GAYLE MATSUMURO

BOISE, ID
NPI1730712266
Professional NameGAYLE MATSUMURO
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: ID  26983)
Additional Taxonomies363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: ID  64061)
Enumeration Date2020-02-12
Last Update Date2020-04-24
Business Address
GAYLE MATSUMURO
413 N ALLUMBAUGH ST STE 101
BOISE, ID 83704-9219
Phone number: 208-323-1125
Mailing Address
GAYLE MATSUMURO
413 N ALLUMBAUGH ST STE 101
BOISE, ID 83704-9219
Phone number: 208-323-1125