Individual
ZAIN A ANJUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1000 STADIUM DRIVE, MOSCOW, ID 83843
(208) 885-0256
Mailing address
275 SOUTHVIEW AVE APT 101A, MOSCOW, ID 83843-5067
(773) 297-5690
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT-770
ID
Other
Enumeration date
05/27/2021
Last updated
05/27/2021
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