Individual
ENOCK MASENGESHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8752 W FAIRVIEW AVE # 9428, BOISE, ID 83704-8207
(986) 301-0460
Mailing address
129 N ECHO CANYON LN # 104, MERIDIAN, ID 83642-5729
(208) 605-2591
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
ID
Other
Enumeration date
08/06/2026
Last updated
08/06/2026
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