Individual
MRS. RACHEL M KOSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4650 HAWTHORNE ROAD,, SUITE 3B, CHUBBUCK, ID 83202
(208) 237-9833
Mailing address
2255 E MOSSY OAKS RD, STE 500, SPRING, TX 77389-1813
(208) 237-9833
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-867
ID
Other
Enumeration date
10/19/2010
Last updated
10/23/2017
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