OLIVIER CIVIKA DUSABE

BOISE, ID
NPI1528920964
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy175T00000X Peer Specialist
Enumeration Date2025-11-24
Last Update Date2025-11-24
Business Address
OLIVIER CIVIKA DUSABE
2915 N COLE RD # 102
BOISE, ID 83704-5917
Phone number: 208-747-5333
Mailing Address
OLIVIER CIVIKA DUSABE
2915 N COLE RD # 102
BOISE, ID 83704-5917
Phone number: 208-747-5333