Individual
BAILEY SEVERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
305 E JEFFERSON ST, BOISE, ID 83712-6231
(208) 381-7339
Mailing address
305 E JEFFERSON ST, BOISE, ID 83712-6231
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
GENP-224
ID
Other
Enumeration date
07/08/2020
Last updated
07/08/2020
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