OPHATH SILAPHATH

MOSCOW, ID
NPI1972342350
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2024-05-23
Last Update Date2024-05-23
Business Address
OPHATH SILAPHATH
875 PERIMETER DR
MOSCOW, ID 83844-9803
Phone number: 208-885-6111
Mailing Address
OPHATH SILAPHATH
1431 W A ST APT 10
MOSCOW, ID 83843-3085
Phone number: 541-980-0975