Individual
MRS. JULIANN C VISSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6454 W. EMERALD STREET, BOISE, ID 83704-8734
(208) 377-0820
(208) 375-8046
Mailing address
6454 W. EMERALD STREET, BOISE, ID 83704-8734
(208) 377-0820
(208) 375-8046
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA874
ID
Other
Enumeration date
11/09/2010
Last updated
03/20/2024
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