Individual
WIVINE PILI BISOKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8601 W EMERALD ST STE 160, BOISE, ID 83704-8297
(208) 992-6510
Mailing address
15353 HOGBACK WAY, CALDWELL, ID 83607-5786
(208) 794-2650
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
03/02/2026
Last updated
03/02/2026
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