CAROLYN BLASCH

BOISE, ID
NPI1992154538
Former NameCAROLYN KELLER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: ID  PN-51519)
Enumeration Date2016-06-05
Last Update Date2016-06-05
Business Address
-- CAROLYN BLASCH
3912 SAGE CREEK DR
BOISE, ID 83714-5502
Phone number: 406-521-0252
Mailing Address
-- CAROLYN BLASCH
3912 SAGE CREEK DR
BOISE, ID 83714-5502
Phone number: 406-521-0252