Individual
MS. SARA JOAN FINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-S
Contact information
Practice address
9850 W ST LUKES DR STE 300, NAMPA, ID 83687-7912
(208) 463-7380
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-2002
ID
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/05/2019
Last updated
11/16/2021
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