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Individual

DR. LAYNE THOMAS TOMINAGA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-7069
(208) 381-4355
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-7069
(208) 381-4355

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P7390
ID

Other

Enumeration date
02/22/2018
Last updated
02/22/2018
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