Individual
JESSICA GARNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CST
Contact information
Practice address
6140 CURTISIAN AVE, BOISE, ID 83704-8880
(208) 367-2834
Mailing address
6140 CURTISIAN AVE, BOISE, ID 83704-8880
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
100349
ID
Other
Enumeration date
03/03/2008
Last updated
03/03/2008
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