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Organization

BOISE HOUSE CALLS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LYNDA JOANNE MARICLE-KUWAHARA APRN-C (OWNER)
(208) 484-6703
Entity
Organization

Contact information

Practice address
303 ELK CREEK ROAD, SUITE BOX 88, IDAHO CITY, ID 83631
(208) 848-6703
(208) 392-4128
Mailing address
303 ELK CREEK ROAD, PO BOX 88, IDAHO CITY, ID 83631
(208) 484-6703
(208) 392-4128

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
NP 289
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
804161900
ID
Enumeration date
08/31/2016
Last updated
08/31/2016
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