Individual
COOPER NICOLE HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
900 N LIBERTY ST STE 206, BOISE, ID 83704-8729
(208) 302-1100
Mailing address
900 N LIBERTY ST STE 206, BOISE, ID 83704-8729
(208) 302-1100
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
GENP-303
ID
Other
Enumeration date
06/15/2021
Last updated
06/15/2021
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