AUTUMN HEUMAN

BOISE, ID
NPI1992040992
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: ID  PA-1032)
Enumeration Date2012-12-01
Last Update Date2012-12-01
Business Address
-- AUTUMN HEUMAN P.A.
4305 N EAGLE RD
BOISE, ID 83713-4722
Phone number: 208-939-3110
Mailing Address
-- AUTUMN HEUMAN P.A.
4305 N EAGLE RD
BOISE, ID 83713-4722
Phone number: 208-939-3110