Individual
DANIEL NUZUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
319 9TH AVE S, NAMPA, ID 83651-3828
(208) 461-1112
Mailing address
319 9TH AVE S, NAMPA, ID 83651-3828
(208) 461-1112
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
2013
OH
Other
Enumeration date
02/20/2014
Last updated
02/20/2014
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