Individual
MARCIA JEWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
960 S BROADWAY AVE, SUITE 505, BOISE, ID 83706-3600
(208) 780-6255
(208) 780-6291
Mailing address
960 S BROADWAY AVE, SUITE 505, BOISE, ID 83706-3600
(208) 780-6255
(208) 780-6291
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
36499
ID
Other
Enumeration date
12/07/2016
Last updated
12/07/2016
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