Individual
DOINA GORLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MBA-HM
Contact information
Practice address
1201 W FLAMINGO AVE, NAMPA, ID 83651-1829
(208) 922-8680
(208) 936-3121
Mailing address
1201 W FLAMINGO AVE, NAMPA, ID 83651-1829
(208) 922-8680
(208) 936-3121
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
M8062488
—
ID
Enumeration date
01/18/2019
Last updated
01/18/2019
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