IDAHO TMS

BOISE, ID
NPI1841857513
Entity TypeOrganization
Authorized ContactMARK JEPSON
Owner
208-813-6246
Organization Subpart ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date2019-05-28
Last Update Date2019-11-28
Business Address
IDAHO TMS
1919 W STATE ST
BOISE, ID 83702-3958
Phone number: 208-813-6246
Mailing Address
IDAHO TMS
1919 W STATE ST
BOISE, ID 83702-3958
Phone number: 208-813-6246
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