BLAKE SMITH

BOISE, ID
NPI1114753225
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2024-09-13
Last Update Date2024-09-13
Business Address
BLAKE SMITH
740 E WARM SPRINGS AVE
BOISE, ID 83712-6420
Phone number: 208-343-7797
Mailing Address
BLAKE SMITH
2551 SUNNY RIDGE RD APT 104
NAMPA, ID 83686-7568
Phone number: 208-989-3538