Individual
OLANA RAE POOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSFA, CSA, CST
Contact information
Practice address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-9590
(208) 381-9599
Mailing address
305 E JEFFERSON ST, BOISE, ID 83712-6231
(208) 381-9590
(208) 381-9599
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
ID
Other
Enumeration date
09/14/2022
Last updated
09/14/2022
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