Search › Idaho › 363A00000X
Jaclyn Mentzer, P.A
NPI 1487899365 · on the registry since 2008
Practice
- Address
- 388 E. Parkcenter Blvd. Gem State Dermatology
Boise, ID 83706 - Phone
- (208) 424-9101
- Fax
- (208) 424-5072
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 207N00000X
363A00000X - Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-01-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho