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Individual

HALA GAMAL RAFLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MPAS

Contact information

Practice address
3340 E GOLDSTONE WAY, MERIDIAN, ID 83642-1026
(208) 367-5170
(208) 367-5180
Mailing address
6140 W CURTISIAN, SUITE 100, BOISE, ID 83704-0109
(208) 367-4224
(208) 367-7806

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PAT-513
ID

Other

Enumeration date
08/07/2008
Last updated
08/07/2008
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