SELIN K JACOB

BOISE, ID
NPI1780937359
Former NameSELIN K VARGHESE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: NM  CNP-02040)
Enumeration Date2012-10-19
Last Update Date2023-08-17
Business Address
Mrs. SELIN K JACOB FNP-C
444 W FORT ST FL 2
BOISE, ID 83702-4535
Phone number: 208-422-1018
Mailing Address
Mrs. SELIN K JACOB FNP-C
4221 VENETIAN LOOP LAS CRUCES
LAS CRUCES, NM 88011-4126
Phone number: 575-640-0052
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