Organization
BILI BABY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN LEASK (DIRECTOR)
(208) 970-2642
Entity
Organization
Contact information
Practice address
1761 SAGE HEN LN, AMMON, ID 83401-6153
(208) 970-2642
Mailing address
1761 SAGE HEN LN, AMMON, ID 83401-6153
(208) 970-2642
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/23/2022
Last updated
10/07/2025
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