Graduated: 2011
NPI: 1386901627
Practice Locations (2)
ADOLPHO ENTERPRISE LLC.
3649 N LAKEHARBOR LN
BOISE, ID 837036913
2089914296102
COMMUNITY COUNCIL OF IDAHO, INC.
2100 ALAN ST
IDAHO FALLS, ID 834045801
2085287655
Source: CMS National Downloadable File, September 2026.