Individual
CHRISTOPHER MUNGA GAKWA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1276 W RIVER ST STE 100, BOISE, ID 83702-7083
(208) 338-4699
Mailing address
1276 W RIVER ST STE 100, BOISE, ID 83702-7083
(208) 338-4699
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
58379
ID
Other
Enumeration date
09/14/2017
Last updated
04/18/2025
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