SHASTA MARIE SLAVKOVSKY

BOISE, ID
NPI1932640968
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: ID  55265)
Enumeration Date2017-03-09
Last Update Date2017-03-30
Business Address
-- SHASTA MARIE SLAVKOVSKY NP
901 N CURTIS RD #503
BOISE, ID 83706-1338
Phone number: 208-302-4000
Mailing Address
-- SHASTA MARIE SLAVKOVSKY NP
3340 E GOLDSTONE WAY
MERIDIAN, ID 83642-1026
Phone number: 208-302-4000
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