Individual
GERMAINE ROEBUCK JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
259 E ELBRIDGE ST, MERIDIAN, ID 83646-3333
(217) 766-0708
Mailing address
6305 W OVERLAND RD, BOISE, ID 83709-3029
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
172V00000X
Community Health Worker
—
—
Other
Enumeration date
03/25/2024
Last updated
03/25/2024
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