Shwan Al Jaf

NPI 1679931224 · on the registry since 2016

Practice

Address: 1111 S Orchard St
Suite 209
Boise, ID 83705
Phone: (208) 918-7259
Organisation at this address: Tdandc Llc
Prov16, Llc
Xpert Care Llc
Toni Sparks, Pa
All Together Now
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 62

Registry record

Primary taxonomy: 163WH0200X
163WH0200X
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2016-02-10

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