Individual
BRIANNA BOLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RRT
Contact information
Practice address
3067 E COPPER POINT DR, MERIDIAN, ID 83642-1740
(208) 287-1733
(208) 287-1734
Mailing address
7103 W BRENTWOOD DR, BOISE, ID 83709-1925
(208) 320-7995
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
LRT-1708
ID
227900000X
Registered Respiratory Therapist
RT-P-10207994
OR
Other
Enumeration date
08/06/2020
Last updated
08/06/2020
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