Individual
NAKALE BALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3861 N MAPLE GROVE RD, BOISE, ID 83704-4227
(208) 431-4740
Mailing address
3861 N MAPLE GROVE RD, BOISE, ID 83704-4227
(208) 431-4740
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/12/2020
Last updated
05/12/2020
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