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Individual

REBECCA LOMONACO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
500 W FORT ST, BOISE, ID 83702-4501
(208) 780-6255
Mailing address
500 W FORT ST, BOISE, ID 83702-4501

Taxonomy

Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
61607
ID

Other

Enumeration date
08/24/2023
Last updated
08/24/2023
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