Individual
SHWAN AL JAF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1111 S ORCHARD ST, SUITE 209, BOISE, ID 83705-1966
(208) 918-7259
Mailing address
8529 W FAIRVIEW AVE, APT 207, BOISE, ID 83704-8585
(208) 918-7259
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
W159670
ID
Other
Enumeration date
02/10/2016
Last updated
02/10/2016
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