JOSEPH AZEVEDO

MERIDIAN, ID
NPI1093398364
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy111N00000X Chiropractor
(Licence: ID  CHIA-2125)
Enumeration Date2021-05-04
Last Update Date2021-05-04
Business Address
JOSEPH AZEVEDO
1907 E KNOBCONE DR
MERIDIAN, ID 83642-8115
Phone number: 208-608-9400
Mailing Address
JOSEPH AZEVEDO
1907 E KNOBCONE DR
MERIDIAN, ID 83642-8115
Phone number: 208-608-9400