Individual
JENNIFER HUA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2273 E GALA ST STE 100, MERIDIAN, ID 83642-7289
(208) 273-1573
Mailing address
2273 E GALA ST STE 100, MERIDIAN, ID 83642-7289
(208) 273-1573
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-2081
ID
Other
Enumeration date
02/04/2021
Last updated
06/13/2022
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