Individual
CASSIDY GOVAN BLANCHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
707 N ARMSTRONG PL, BOISE, ID 83704-0825
(208) 375-5211
Mailing address
707 N ARMSTRONG PL, BOISE, ID 83704-0825
(208) 375-5211
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5361377
ID
Other
Enumeration date
08/04/2022
Last updated
11/27/2024
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