Individual
ALLISON CLUBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2211 N 31ST ST, BOISE, ID 83703-5625
(831) 246-3590
Mailing address
2211 N 31ST ST, BOISE, ID 83703-5625
(831) 246-3590
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
63264
ID
Other
Enumeration date
05/08/2023
Last updated
05/08/2023
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