Individual
SAJJAD ETMINAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9428 W FAIRVIEW AVE, BOISE, ID 83704-8101
(208) 246-9902
Mailing address
710 TWILIGHT LOOP, TWIN FALLS, ID 83301-4200
(208) 246-9902
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
12/10/2025
Last updated
12/10/2025
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