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Individual

KENDALL VANJO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP, RN

Contact information

Practice address
2330 W EVEREST LN, SUITE 100, MERIDIAN, ID 83646
(208) 297-4091
Mailing address
3628 N COSTA MADERA WAY, STAR, ID 83669-1127
(805) 807-5877

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
6961274
ID

Other

Enumeration date
01/08/2025
Last updated
01/08/2025
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