REBECCA MICHELLE PENNER

BOISE, ID
NPI1932765013
Former NameREBECCA MICHELLE SMITH
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: ID  PA-1665)
Additional Taxonomies363A00000X Physician Assistant
Enumeration Date2019-05-14
Last Update Date2023-12-20
Business Address
REBECCA MICHELLE PENNER PA-C
100 E IDAHO ST STE 200
BOISE, ID 83712-6270
Phone number: 208-381-2711
Mailing Address
REBECCA MICHELLE PENNER PA-C
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: