Jianne De Raya, PHARMD

NPI 1710610308 · on the registry since 2022 · sole proprietor

Practice

Address: 100 E Idaho St
Boise, ID 83712
Phone: (240) 910-0162
Organisation at this address: Woman'S Clinic
Ob-Gyn Center Pa
Pediatric Surgery Of Idaho
Jonathan Kramer, M.D., Pllc
Mountain States Oncology Group
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 212

Registry record

Primary taxonomy: 1835X0200X
1835X0200X
Also registered as: 183500000X
Licence states on file: ID, AZ
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2022-07-01

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