ANTHONY MICHAEL KISSELL

BOISE, ID
NPI1134985237
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy251S00000X Community/Behavioral Health
Enumeration Date2024-02-26
Last Update Date2024-02-26
Business Address
ANTHONY MICHAEL KISSELL
1276 W RIVER ST
BOISE, ID 83702-7066
Phone number: 208-338-4699
Mailing Address
ANTHONY MICHAEL KISSELL
1276 W RIVER ST
BOISE, ID 83702-7066
Phone number: 208-338-4699
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