FARDIN WALIZAY

BOISE, ID
NPI1407710593
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2025-12-12
Last Update Date2025-12-12
Business Address
FARDIN WALIZAY
275 N LIBERTY ST
BOISE, ID 83704-9331
Phone number: 208-801-2918
Mailing Address
FARDIN WALIZAY
275 N LIBERTY ST
BOISE, ID 83704-9331
Phone number:
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