Individual
MARSHALL WASHINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSFA
Contact information
Practice address
1425 W RIVER ST, BOISE, ID 83702-6861
(208) 908-3664
Mailing address
6065 W OREANA DR, BOISE, ID 83709-3144
(208) 908-3664
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
170359
ID
Other
Enumeration date
01/02/2022
Last updated
01/02/2022
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