Individual
ALPHONSE MBARUSHIMANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4980 S TINKER AVE, BOISE, ID 83709-5326
(208) 801-8379
(208) 801-8379
Mailing address
4980 S TINKER AVE, BOISE, ID 83709-5326
(208) 801-8379
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
03/12/2026
Last updated
03/12/2026
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