BEN A NDISANZE

BOISE, ID
NPI1477417673
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2025-12-11
Last Update Date2025-12-11
Business Address
BEN A NDISANZE
9428 W FAIRVIEW AVE
BOISE, ID 83704-8101
Phone number: 208-246-9902
Mailing Address
BEN A NDISANZE
9428 W FAIRVIEW AVE
BOISE, ID 83704-8101
Phone number: