Individual
MS. EMILY ROSE FASSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LGC
Contact information
Practice address
100 E IDAHO ST, BOISE, ID 83712-6267
(208) 381-6120
(208) 381-3276
Mailing address
100 E IDAHO ST, BOISE, ID 83712-6267
(208) 381-6120
(208) 381-3276
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
—
ID
Other
Enumeration date
01/18/2017
Last updated
03/06/2018
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