Individual
AMANDA M KOVACS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1655 W FAIRVIEW AVE STE 209, BOISE, ID 83702-5190
(208) 352-0343
Mailing address
10348 W ALTAIR DR, STAR, ID 83669-5615
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/11/2025
Last updated
06/11/2025
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