TINA MONIQUE BOSSOLONO-WILLIAMS

BOISE, ID
NPI1891264545
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP2300X Nurse Practitioner, Primary Care
(Licence: ID  40406)
Enumeration Date2018-11-23
Last Update Date2024-05-15
Business Address
TINA MONIQUE BOSSOLONO-WILLIAMS
6051 W EMERALD ST
BOISE, ID 83704-8969
Phone number: 208-302-5150
Mailing Address
TINA MONIQUE BOSSOLONO-WILLIAMS
PO BOX 190930
BOISE, ID 83719-0930
Phone number: 208-236-5170