Raza, Gina T.

Raza, Gina T. is an individual health care provider with primary practice located at 444 W Fort St Fl 2 , Boise ID 83702-4535. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Raza, Gina T. can be contacted via phone (208) 422-1038.

Contact Information

Primary practice address
444 W Fort St Fl 2 Boise ID 83702-4535
Phone: (208) 422-1038
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 0810004747 Virginia

Profile Details

NPI number 1417392374
LBN Legal business name Raza, Gina T.
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date May 6th, 2013
Last updated Aug 30th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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