ELIZABETH BALLEWEG

BOISE, ID
NPI1295372308
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP2300X Nurse Practitioner, Primary Care
(Licence: ID  63144)
Enumeration Date2019-12-09
Last Update Date2019-12-09
Business Address
ELIZABETH BALLEWEG
2306 N 31ST ST
BOISE, ID 83703-5628
Phone number: 406-546-7469
Mailing Address
ELIZABETH BALLEWEG
2306 N 31ST ST
BOISE, ID 83703-5628
Phone number: 406-546-7469
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