Individual
COLTON T ZAMORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BSN
Contact information
Practice address
500 W FORT ST, BOISE, ID 83702-4501
(208) 407-1689
Mailing address
500 W FORT ST, BOISE, ID 83702-4501
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
55427
ID
Other
Enumeration date
03/09/2022
Last updated
03/09/2022
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