Individual
NILOUFAR NIKNAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
945 N MAPLE GROVE RD APT 105, BOISE, ID 83704-4292
(330) 503-8072
Mailing address
945 N MAPLE GROVE RD APT 105, BOISE, ID 83704-4292
(330) 503-8072
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P8194
ID
Other
Enumeration date
03/30/2019
Last updated
03/30/2019
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