| 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 |