Individual
ANGELO B GIOVANINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LD
Contact information
Practice address
1611 12TH AVE RD STE B, NAMPA, ID 83686-6182
(208) 467-1107
(208) 461-2633
Mailing address
1611 12TH AVE RD STE B, NAMPA, ID 83686-6182
(208) 467-1107
(208) 461-2633
Taxonomy
Speciality
Code
Description
License number
State
122400000X
Denturist
Primary
LD115
ID
Other
Enumeration date
11/08/2017
Last updated
08/08/2025
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