Individual
MS. JANE M SHIMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.D., A.T.C.
Contact information
Practice address
1910 UNIVERSITY DR, BOISE STATE UNIVERSITY, BOISE, ID 83725-0002
(208) 426-1531
(208) 426-1531
Mailing address
3693 VINTAGE WAY, BOISE, ID 83706-5448
(208) 426-1531
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
03/01/2007
Last updated
07/08/2007
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