Individual
SELAH ORA NSE ETIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1570 E FAIRVIEW AVE, MERIDIAN, ID 83642-1821
(208) 888-0034
Mailing address
1066 S SILVERSTONE WAY APT D112, MERIDIAN, ID 83642-1373
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8081206
ID
Other
Enumeration date
07/06/2026
Last updated
07/06/2026
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