Jonathan Amissa

NPI #1639714025 in Boise, Idaho

Provider Information

NPI Number
1639714025
Entity Type
Individual
Name
Jonathan Amissa
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Non-emergency Medical Transport (VAN)
Enumeration Date
Nov 9, 2019
Last Updated
Nov 9, 2019

Practice Location

Address
1573 S RIVERSTONE LN APT 303
City
Boise
State
Idaho
ZIP Code
83706-6542
Phone
(208) 805-9839

Specialties & Taxonomy Codes

Specialty
Non-emergency Medical Transport (VAN)

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