Individual
CAMILLE KARWISCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8211 W USTICK RD, BOISE, ID 83704-5756
(208) 375-3700
Mailing address
120 E MALLARD DR, #218, BOISE, ID 83706-3984
(706) 248-6432
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/19/2016
Last updated
09/19/2016
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