Individual
KRISTINA JONAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4051 E FAIRVIEW AVE, MERIDIAN, ID 83642-5801
(208) 373-0024
Mailing address
4051 E FAIRVIEW AVE, MERIDIAN, ID 83642-5801
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P4973
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P4973
IDAHO PHARMACIST LICENSE NUMBER
ID
Enumeration date
08/08/2014
Last updated
08/08/2014
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