SHAHLA WALIZADA

BOISE, ID
NPI1205272986
Former NameSHAHLA NOORI
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: ID  O0953)
Enumeration Date2013-05-21
Last Update Date2016-10-20
Business Address
-- SHAHLA WALIZADA DO
2141 E PARKCENTER BLVD SAMG BHP FAMILY MEDICINE
BOISE, ID 83706
Phone number: 208-302-5000
Mailing Address
-- SHAHLA WALIZADA DO
3340 E GOLDSTONE WAY
MERIDIAN, ID 83642-1026
Phone number: 208-302-5000
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