ILLARIA C MOORE

BOISE, ID
NPI1790119238
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: ID  NP-1326A)
Enumeration Date2013-08-31
Last Update Date2013-08-31
Business Address
-- ILLARIA C MOORE NP-C
11050 MONTANA AVE
BOISE, ID 83713-5049
Phone number: 208-954-6783
Mailing Address
-- ILLARIA C MOORE NP-C
11050 MONTANA AVE
BOISE, ID 83713-5049
Phone number: 208-954-6783
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