Organization
GEM STATE FAMILY EYECARE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER MARIE HOLMAN O.D. (PRESIDENT)
(208) 345-6886
Entity
Organization
Contact information
Practice address
3815 W STATE ST, BOISE, ID 83703-5221
(208) 345-6886
(208) 345-6686
Mailing address
3815 W STATE ST, BOISE, ID 83703-5221
(208) 345-6886
(208) 345-6686
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODP-100213
ID
Other
Enumeration date
12/22/2011
Last updated
12/22/2011
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