Individual
JESSICA ALLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
909 E PARKCENTER BLVD, BOISE, ID 83706-6721
(208) 338-3722
(208) 338-3739
Mailing address
909 E PARKCENTER BLVD, BOISE, ID 83706-6721
(208) 338-3722
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P10832
ID
Other
Enumeration date
08/02/2023
Last updated
01/18/2024
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