Provider First Line Business Practice Location Address:
619 S CANYON ST
Provider Second Line Business Practice Location Address:
NAMPA SCHOOL DISTRICT
Provider Business Practice Location Address City Name:
NAMPA
Provider Business Practice Location Address State Name:
ID
Provider Business Practice Location Address Postal Code:
83686-6634
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
208-468-4600
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/26/2007