Individual
ESTEPHANIA ZAMORA ZIZELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
3614 W STATE ST, BOISE, ID 83703-5218
(208) 426-9639
Mailing address
2507 W REGAN AVE, BOISE, ID 83702-3132
(410) 598-3274
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P7129
ID
Other
Enumeration date
09/30/2014
Last updated
09/30/2014
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