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JENNIFER WARE PA-S

Individual Provider (NPI-1) Active

Physician Assistant

Provider Information

NPI Number
1548045172
Provider Type
Individual Provider (NPI-1)
Credentials
PA-S
Status
Active

Contact & Location

Address
98 POPLAR ST, BLACKFOOT, ID, 832211799
Phone
(208) 785-4100

Specialties & Taxonomies

Pharmacy Technician License: UT #10848229-1717
Pharmacy Technician License: ID #CT70385
Physician Assistant Primary License: ID

All Addresses

MAILING

1239 E WYETH ST

POCATELLO, ID, 832014732

(801) 698-9768

LOCATION

98 POPLAR ST

BLACKFOOT, ID, 832211799

(208) 785-4100