Individual
MARIAH JO MCINTIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5353 S TINKER ST, BOISE, ID 83709-5841
(208) 705-2041
Mailing address
5353 S TINKER ST, BOISE, ID 83709-5841
(208) 705-2041
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
5761670
ID
Other
Enumeration date
11/01/2025
Last updated
11/01/2025
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