Individual
ZANA DELIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1075 N CURTIS, STE 200, BOISE, ID 83706-1350
(208) 367-8333
(208) 367-4252
Mailing address
3340 E GOLDSTONE WAY, MERIDIAN, ID 83642-1026
(208) 367-8333
(208) 367-4252
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA-1100
ID
363AM0700X
Medical Physician Assistant
PA158770
OR
Other
Enumeration date
07/14/2012
Last updated
08/27/2014
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