Individual
SORAYA MALEKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
725 N 15TH ST, BOISE, ID 83702-4020
(208) 955-8272
Mailing address
725 N 15TH ST, BOISE, ID 83702-4020
(208) 955-8272
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
ACU-268
ID
Other
Enumeration date
05/22/2014
Last updated
05/22/2014
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