Individual
RACHEL ENSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
803 S MAIN ST STE 110, MOSCOW, ID 83843-2695
(208) 813-7519
(208) 813-7524
Mailing address
111 N WASHINGTON ST STE 8, MOSCOW, ID 83843-2802
(208) 813-7519
(208) 813-7524
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/10/2018
Last updated
11/22/2024
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