Raphael Shakur Komakech, MBBCHB is a student in an organized health care education training program in Boise, ID. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Raphael Shakur Komakech, MBBCHB NPI is 1770223562. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
500 W FORT ST
BOISE, ID
ZIP 83702-501
Phone: (208) 422-1000
The enumeration date for this NPI number is 3/30/2022 and was last updated on 3/30/2022.