Individual
THELMARI RAUBENHEIMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-2235
(208) 381-4556
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(843) 692-1122
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
1571451
ID
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/22/2022
Last updated
06/30/2025
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