EDWARD REZA

BOISE, ID
NPI1003087156
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy111N00000X Chiropractor
(Licence: ID  8161070)
Additional Taxonomies111NR0400X 
(Licence: CA  DC28729)
Enumeration Date2008-03-17
Last Update Date2024-10-09
Business Address
Dr. EDWARD REZA D.C.
8631 W ARDENE ST
BOISE, ID 83709-2601
Phone number: 208-629-1904
Mailing Address
Dr. EDWARD REZA D.C.
8631 W ARDENE ST
BOISE, ID 83709-2601
Phone number: 208-629-1904
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