MATTHEW DAVID BLACK

IDAHO FALLS, ID
NPI1639718745
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy237700000X Hearing Instrument Specialist
(Licence: ID  HA3634)
Enumeration Date2020-01-06
Last Update Date2020-01-06
Business Address
Mr. MATTHEW DAVID BLACK H.I.S.
3656 WASHINGTON PKWY
IDAHO FALLS, ID 83404-7573
Phone number: 208-529-4969
Mailing Address
Mr. MATTHEW DAVID BLACK H.I.S.
3656 WASHINGTON PKWY
IDAHO FALLS, ID 83404-7573
Phone number: 208-529-4969
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