LILLY BWANGA

BOISE, ID
NPI1225723620
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy251S00000X Community/Behavioral Health
Enumeration Date2023-04-10
Last Update Date2026-05-12
Business Address
LILLY BWANGA
8620 W EMERALD ST STE 150
BOISE, ID 83704-4839
Phone number: 208-617-3265
Mailing Address
LILLY BWANGA
718 W QUAKING ASPEN DR
KUNA, ID 83634-5498
Phone number: 208-863-2126