Individual
BAILEY TOMAZICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1075 N CURTIS RD., ST 100, BOISE, ID 83706
(208) 377-5166
Mailing address
1075 N CURTIS RD., ST 100, BOISE, ID 83706
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
60507
ID
Other
Enumeration date
11/01/2022
Last updated
11/01/2022
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