JOHN DUSTIN PENA

SALMON, ID
NPI1730787482
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: ID  65855)
Enumeration Date2020-10-14
Last Update Date2024-10-08
Business Address
JOHN DUSTIN PENA FNP
403 RIVERFRONT DR
SALMON, ID 83467-5162
Phone number: 208-742-1110
Mailing Address
JOHN DUSTIN PENA FNP
403 RIVERFRONT DR
SALMON, ID 83467-5162
Phone number: 208-742-1110
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