JACKIE B CALLAWAY

BOISE, ID
NPI1801196720
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: ID  PA-865)
Enumeration Date2010-10-26
Last Update Date2023-08-23
Business Address
JACKIE B CALLAWAY PA
600 N ROBBINS RD STE 302
BOISE, ID 83702-4565
Phone number: 208-706-5930
Mailing Address
JACKIE B CALLAWAY PA
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number:
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