Individual
JULIE LYNN STACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSFA
Contact information
Practice address
1055 N CURTIS RD, BOISE, ID 83706-1309
(208) 367-2121
Mailing address
9006 S LA PAMPA WAY, KUNA, ID 83634-4860
(208) 860-6776
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
04/23/2026
Last updated
04/23/2026
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