TINA MONIQUE BOSSOLONO-WILLIAMS

NAMPA, ID
NPI1891264545
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP2300X Nurse Practitioner Primary Care
(Licence: ID  40406)
Enumeration Date2018-11-23
Last Update Date2024-09-30
Business Address
TINA MONIQUE BOSSOLONO-WILLIAMS
1510 12TH AVE RD STE 200
NAMPA, ID 83686-6946
Phone number: 208-302-6800
Mailing Address
TINA MONIQUE BOSSOLONO-WILLIAMS
PO BOX 190930
BOISE, ID 83719-0930
Phone number: 208-236-5170
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