BORA BISIMWA
Individual Provider (NPI-1)
Active
Psychologist, Health Service
Provider Information
- NPI Number
1730035403- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 12667 GOFF ST, CALDWELL, ID, 836075845
- Phone
- (520) 269-2213
Specialties & Taxonomies
Psychologist, Health Service
Primary License: ID #CFH-10146