Individual
JENNIE QUAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9850 W ST LUKES DR, NAMPA, ID 83687-7912
(208) 381-5970
Mailing address
9850 W ST LUKES DR, NAMPA, ID 83687-7912
(208) 381-5970
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
4301107220
MI
2084P0800X
Psychiatry Physician
Primary
M-15298
ID
Other
Enumeration date
06/18/2015
Last updated
02/02/2021
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