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XAVIER AL-MATEEN

Individual Provider (NPI-1) Active

Student in an Organized Health Care Education/Training Program

Provider Information

NPI Number
1033738505
Provider Type
Individual Provider (NPI-1)
Status
Active

Contact & Location

Address
6348 W EMERALD ST, BOISE, ID, 837048732
Phone
(208) 302-0900
Fax
(208) 302-0955

Specialties & Taxonomies

Psychiatry & Neurology, Psychiatry License: ID #M-17735
Student in an Organized Health Care Education/Training Program Primary

All Addresses

MAILING

PO BOX 190930

BOISE, ID, 837190930

(208) 367-5170

LOCATION

6348 W EMERALD ST

BOISE, ID, 837048732

(208) 302-0900