MARSHALL WASHINGTON

BOISE, ID
NPI1194486118
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy246ZS0410X Specialist/Technologist, Other, Surgical Technologist
(Licence: ID  170359)
Enumeration Date2022-01-02
Last Update Date2022-01-02
Business Address
MARSHALL WASHINGTON CSFA
1425 W RIVER ST
BOISE, ID 83702-6861
Phone number: 208-908-3664
Mailing Address
MARSHALL WASHINGTON CSFA
6065 W OREANA DR
BOISE, ID 83709-3144
Phone number: 208-908-3664