NPI | 1568855740 |
---|---|
Entity Type | Organization |
Authorized Contact | HOLLY BOND Office Manager 208-523-2080 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ID NP1180A) |
Enumeration Date | 2015-03-11 |
Last Update Date | 2015-03-11 |