SHANDA GROOMS

MERIDIAN, ID
NPI1750330080
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: ID  M8196)
Enumeration Date2006-05-05
Last Update Date2011-02-23
Business Address
-- SHANDA GROOMS M.D.
520 S EAGLE RD STE 3102
MERIDIAN, ID 83642-6351
Phone number: 208-706-5100
Mailing Address
-- SHANDA GROOMS M.D.
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-2222
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