Individual
ELVINE ANGELINE CHINABALIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4830 N CRESTHAVEN CIR, BOISE, ID 83704-3009
(208) 922-0493
Mailing address
4830 N CRESTHAVEN CIR, BOISE, ID 83704-3009
(208) 922-0493
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
ID
Other
Enumeration date
11/05/2021
Last updated
12/11/2025
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