Individual
DR. JIANNE CASTELO DE RAYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
100 E IDAHO ST, BOISE, ID 83712-6267
(240) 910-0162
Mailing address
406 S 4TH ST APT 317, BOISE, ID 83702-7696
(240) 910-0162
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
S025358
AZ
1835X0200X
Oncology Pharmacist
Primary
P10018
ID
Other
Enumeration date
07/01/2022
Last updated
07/01/2022
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