Individual
EFRAIN PRIMERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8050 W RIFLEMAN ST STE 100, BOISE, ID 83704-9006
(800) 211-9477
Mailing address
8050 W RIFLEMAN ST STE 100, BOISE, ID 83704-9006
(800) 211-9477
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
ID
Other
Enumeration date
02/10/2026
Last updated
02/10/2026
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