Individual
JANE G GIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
10500 OVERLAND RD, BOISE, ID 83709-1435
(208) 376-8448
Mailing address
3280 N WHISTLER LN APT 205, BOISE, ID 83703-6232
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P6570
ID
Other
Enumeration date
08/17/2011
Last updated
08/17/2011
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