Individual
MS. AMBER JOY COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
5246 N EAGLE RD, BOISE, ID 83713
(208) 939-3000
(208) 939-3030
Mailing address
5246 N EAGLE RD, BOISE, ID 83713
(208) 939-3000
(208) 939-3030
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
01/30/2014
Last updated
01/30/2014
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