WESLEY ADAM SEMONCHUK

MERIDIAN, ID
NPI1962962118
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: ID  PA-1958)
Enumeration Date2019-03-23
Last Update Date2020-11-11
Business Address
Mr. WESLEY ADAM SEMONCHUK
3080 E GENTRY WAY STE 210
MERIDIAN, ID 83642-3013
Phone number: 208-384-9022
Mailing Address
Mr. WESLEY ADAM SEMONCHUK
3080 E GENTRY WAY STE 210
MERIDIAN, ID 83642-3013
Phone number: 208-384-9022
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