KIMERENG KIPCHUMBA KIPSUGE

BOISE, ID
NPI1205489978
Professional NameKIMERENG KIPCHUMBA KIPSUGE
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LA2100X Nurse Practitioner Acute Care
(Licence: ID  62135)
Enumeration Date2019-07-22
Last Update Date2021-06-30
Business Address
KIMERENG KIPCHUMBA KIPSUGE NP
1883 WILDWOOD ST STE C
BOISE, ID 83713-5146
Phone number: 208-901-7006
Mailing Address
KIMERENG KIPCHUMBA KIPSUGE NP
1883 WILDWOOD ST STE C
BOISE, ID 83713-5146
Phone number: 208-901-7006