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WENDY DIANE LOUMEAU PA

Individual Provider (NPI-1) Active

Physician Assistant

Provider Information

NPI Number
1144950270
Provider Type
Individual Provider (NPI-1)
Credentials
PA
Status
Active

Contact & Location

Address
520 S EAGLE RD STE 3102, MERIDIAN, ID, 836426352
Phone
(208) 706-5100
Fax
(208) 706-5169

Specialties & Taxonomies

Physician Assistant Primary License: ID #PA-2625

All Addresses

MAILING

190 E BANNOCK ST FL 10

BOISE, ID, 837126241

LOCATION

520 S EAGLE RD STE 3102

MERIDIAN, ID, 836426352

(208) 706-5100