IDRIS JAMAL SHELBY

TWIN FALLS, ID
NPI1679964977
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: ID  OTA-1029)
Enumeration Date2015-02-09
Last Update Date2015-02-09
Business Address
Mr. IDRIS JAMAL SHELBY
2681 SAGEBRUSH DR
TWIN FALLS, ID 83301-7559
Phone number: 208-794-7964
Mailing Address
Mr. IDRIS JAMAL SHELBY
2681 SAGEBRUSH DR
TWIN FALLS, ID 83301-7559
Phone number: 208-794-7964
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