KUNAL NAMBALLA

MOUNTAIN HOME AFB, ID
NPI1902300437
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MI  6801102208)
Enumeration Date2018-03-20
Last Update Date2023-07-11
Business Address
KUNAL NAMBALLA LMSW
90 HOPE DR BLDG 6000
MOUNTAIN HOME AFB, ID 83648-1062
Phone number: 208-828-7900
Mailing Address
KUNAL NAMBALLA LMSW
90 HOPE DR BLDG 6000
MOUNTAIN HOME AFB, ID 83648-1062
Phone number: 208-828-7900