Individual
MALLORI D HOOKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
100 E IDAHO ST, BOISE, ID 83712-6267
(208) 381-2709
(208) 381-4025
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP1008A
ID
Other
Enumeration date
02/02/2007
Last updated
04/04/2011
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