ELVICE MIHALI MWENEMATALE

MERIDIAN, ID
NPI1831852300
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2021-10-20
Last Update Date2021-10-20
Business Address
ELVICE MIHALI MWENEMATALE
4316 E TAHITI ST
MERIDIAN, ID 83646-6339
Phone number: 208-695-1245
Mailing Address
ELVICE MIHALI MWENEMATALE
4316 E TAHITI ST
MERIDIAN, ID 83646-6339
Phone number: 208-695-1245
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