SHANNIELLE LOUISE BLACK, NP-C
Nursing at Overland Rd, Boise, ID

License number
Idaho 56461
Category
Nursing
Type
Family
Address
Address
8517 W Overland Rd, Boise, ID 83709
Phone
(208) 322-3555
(208) 322-6809 (Fax)
(208) 429-1926
National Provider ID: 1376068759
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Personal information

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Name
Address
Phone
Shannielle Black, age 41
9918 W Antietam St, Boise, ID 83709

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