REBECCA D SHAW

MERIDIAN, ID
NPI1275772667
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2086S0122X Surgery, Plastic and Reconstructive Surgery
(Licence: ID  m-8189)
Enumeration Date2009-02-09
Last Update Date2009-02-09
Business Address
-- REBECCA D SHAW CFA
3630 E LOUISE DR
MERIDIAN, ID 83642-7975
Phone number: 208-377-9515
Mailing Address
-- REBECCA D SHAW CFA
3630 E LOUISE DR
MERIDIAN, ID 83642-7975
Phone number: 208-377-9515
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