Boise House Calls, LLC

NPI #1154877918 in Idaho City, Idaho

Provider Information

NPI Number
1154877918
Entity Type
Organization
Organization Name
Boise House Calls, LLC
Primary Specialty
Clinic/Center - Primary Care
Enumeration Date
Aug 31, 2016
Last Updated
Aug 31, 2016

Practice Location

Address
303 ELK CREEK ROAD
Address 2
SUITE BOX 88
State
Idaho
ZIP Code
83631
Phone
(208) 848-6703

Authorized Official

Name
LYNDA JOANNE MARICLE-KUWAHARA, APRN-C
Title
OWNER
Phone
(208) 484-6703

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Primary CarePrimary Care

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