SearchIdaho343900000X

Jonathan Amissa

NPI 1639714025 · on the registry since 2019 · sole proprietor

Practice

Address
1573 S Riverstone Ln Apt 303
Boise, ID 83706
Phone
(208) 805-9839

Registry record

Primary taxonomy
343900000X
343900000X
Sex
Male
Record last updated
2019-11-09

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