Individual
MARTHA BLAESING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. CCC-A
Contact information
Practice address
500 W FORT ST, BOISE, ID 83702-4501
(208) 422-1113
Mailing address
6621 MORTON DR, BOISE, ID 83704-4630
(208) 422-1113
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AUD-1170
ID
Other
Enumeration date
07/14/2006
Last updated
07/08/2007
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