CLAY T BISTLINE

BOISE, ID
NPI1740110659
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy251S00000X Community/Behavioral Health
Enumeration Date2026-05-21
Last Update Date2026-05-21
Business Address
CLAY T BISTLINE
1276 W RIVER ST STE 100
BOISE, ID 83702-7083
Phone number: 208-338-4699
Mailing Address
CLAY T BISTLINE
1276 W RIVER ST STE 100
BOISE, ID 83702-7083
Phone number:
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