DOLLIE L BLACK

BOISE, ID
NPI1427671684
Former NameDOLLIE L PANCHERI
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: ID  PN-9253)
Enumeration Date2020-05-22
Last Update Date2020-05-22
Business Address
DOLLIE L BLACK
500 W FORT ST
BOISE, ID 83702-4501
Phone number: 208-422-1000
Mailing Address
DOLLIE L BLACK
500 W FORT ST
BOISE, ID 83702-4501
Phone number: 208-422-1000
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