Individual
JONI S HUNTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SURGICAL TECH 1ST AS
Contact information
Practice address
215 E HAWAII AVENUE, NAMPA, ID 83686
(208) 463-3000
(208) 463-3034
Mailing address
217 W GEORGIA, SUITE 115, NAMPA, ID 83686
(208) 463-3000
(208) 463-3034
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
85885
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010140810
BLUE SHIELD
ID
Enumeration date
12/14/2006
Last updated
07/08/2007
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