Individual
JEANETE A CARDONA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3237 S FEDERAL WAY, BOISE, ID 83705
(208) 690-2401
Mailing address
10945 W IRVING CT, BOISE, ID 83713-0616
Taxonomy
Speciality
Code
Description
License number
State
2471C3402X
Radiography Radiologic Technologist
Primary
1075039
ID
Other
Enumeration date
08/17/2026
Last updated
08/17/2026
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