NPI 1790233807

Abdi Haji

Practitioner Driver Boise, ID

Practice location

Address: 3905 W Alpine St APT 30, Boise, ID 83705-1488
Phone: (208) 440-5598
Mailing address: 3905 W Alpine St APT. 30, Boise, ID 83705-1488

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence ZE326491C (ID)

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Registry record

NPI: 1790233807
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Sep 2016
Record last updated: 17 Sep 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.