SHALOAM OFISA

POCATELLO, ID
NPI1952713166
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy111N00000X Chiropractor
(Licence: ID  CHIA-1603)
Enumeration Date2014-05-22
Last Update Date2018-07-10
Business Address
SHALOAM OFISA D.C., M.S.
1800 FLANDRO DR SUITE 130
POCATELLO, ID 83202
Phone number: 208-221-2973
Mailing Address
SHALOAM OFISA D.C., M.S.
1800 FLANDRO DR SUITE 130
POCATELLO, ID 83202-4912
Phone number: 208-242-3723
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