JOSE MIGUEL BOLANOS RIVERA

NAMPA, ID
NPI1629764287
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: ID  MRM-2246)
Enumeration Date2023-04-14
Last Update Date2023-04-14
Business Address
JOSE MIGUEL BOLANOS RIVERA MD
215 E HAWAII AVE # 140
NAMPA, ID 83686-6011
Phone number: 208-514-2529
Mailing Address
JOSE MIGUEL BOLANOS RIVERA MD
777 N RAYMOND ST
BOISE, ID 83704-9251
Phone number: 208-514-2500
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