Individual
DR. DAREN SHISHIDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
304 12TH AVE RD, NAMPA, ID 83686-5015
(208) 830-4481
Mailing address
14891 N FITZWILLIAM ST, NAMPA, ID 83651-5081
(208) 830-4481
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA-1066
ID
Other
Enumeration date
12/07/2015
Last updated
12/07/2015
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