Individual
TATIANA V KHOCHAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1055 N CURTIS RD, BOISE, ID 83706-1309
(208) 367-6416
(208) 367-2742
Mailing address
1067 E AZAN ST, MERIDIAN, ID 83646-7682
(208) 794-1559
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
N36575
ID
367500000X
Certified Registered Nurse Anesthetist
Primary
RNA-831A
ID
Other
Enumeration date
03/30/2012
Last updated
01/11/2024
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