REILLY JIMENEZ

IDAHO FALLS, ID
NPI1740961788
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2023-07-31
Last Update Date2025-10-01
Business Address
REILLY JIMENEZ PA
2235 12TH ST APT B117
IDAHO FALLS, ID 83404-5721
Phone number: 208-419-1319
Mailing Address
REILLY JIMENEZ PA
PO BOX 191050
BOISE, ID 83719-1050
Phone number: 208-955-6500