SOUTHEAST FIRST ASSISTANT LLC
Nursing at Nunn Rd, Chilco, ID

License number
Idaho PA-1167
Category
Nursing
Type
Physician Assistant
License number
Idaho PA-1167
Category
Nursing
Type
Surgical
Owner
Name: DREW JOHNSON PAC
Title: OWNER
Phone: (208) 215-6411
Address
Address
12473 E Nunn Rd, Chilco, ID 83801
National Provider ID: 1790158459
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.