Individual
MRS. KELSEY TOMITA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSFA
Contact information
Practice address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-2617
Mailing address
827 E RIVERSIDE DR APT B213, EAGLE, ID 83616-5842
(208) 346-0495
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
08/30/2023
Last updated
08/30/2023
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