NIKOLE A SHEPHERDSON

BOISE, ID
NPI1760610950
Former NameNIKOLE A CREMER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: ID  O-0597)
Additional Taxonomies207Q00000X Family Medicine
(Licence: ID  MR-1048)
Enumeration Date2009-06-25
Last Update Date2011-09-19
Business Address
-- NIKOLE A SHEPHERDSON DO
777 N RAYMOND ST
BOISE, ID 83704-9251
Phone number: 208-367-6030
Mailing Address
-- NIKOLE A SHEPHERDSON DO
777 N RAYMOND ST
BOISE, ID 83704-9251
Phone number: 208-367-6030