DOLLIE BLACK

specializing in licensed practical nurse in Boise, Idaho

NPI: 1427671684

Provider Type

1

Practice Locations

Mailing Location

500 W FORT ST

BOISE, ID 83702

📞 2084221000

📠 2084221373

Practice Location

500 W FORT ST

BOISE, ID 83702

📞 2084221000

📠 2084221373

Provider Information

Gender:F
Sole Proprietor:No
Enumeration Date:5/22/2020
Last Updated:5/22/2020

Credentials

Primary Credential:
DOLLIE BLACK - Licensed Practical Nurse in Boise, Idaho