Individual
ANGELIA HE TURLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
5985 W STATE ST, BOISE, ID 83703-3039
(208) 853-0071
(208) 853-9422
Mailing address
5985 W STATE ST, BOISE, ID 83703-3039
(208) 853-0071
(208) 853-9422
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA847
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA847
LICENSE
ID
Enumeration date
04/15/2010
Last updated
04/15/2010
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