Individual
JAY N RATTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
108 TOPONCE DR # 112, POCATELLO, ID 83204-4717
(208) 251-6729
Mailing address
290 ELM AVE E, HANSEN, ID 83334-4938
(208) 251-6729
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/20/2022
Last updated
07/20/2022
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