Individual
MS. CIERA DALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1210 NW 16TH ST, FRUITLAND, ID 83619-2202
(208) 452-8600
(208) 452-8601
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-2368
ID
363A00000X
Physician Assistant
PA214177
OR
Other
Enumeration date
06/12/2022
Last updated
09/09/2024
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