RANAN GRACE SPOLAR

BOISE, ID
NPI1093121337
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: ID  NP-1447A)
Enumeration Date2014-07-08
Last Update Date2023-12-28
Business Address
RANAN GRACE SPOLAR NP-C
5966 W CURTISIAN AVE
BOISE, ID 83704-8801
Phone number: 208-302-5470
Mailing Address
RANAN GRACE SPOLAR NP-C
PO BOX 190930
BOISE, ID 83719-0930
Phone number: 208-367-5170