MRS. Sue Soroor Didehban

NPI #1588918676 in Boise, Idaho

Provider Information

NPI Number
1588918676
Entity Type
Individual
Name
MRS. Sue Soroor Didehban
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Technician/Technologist - Optician
Enumeration Date
Oct 29, 2012
Last Updated
Oct 29, 2012

Practice Location

Address
7447 W EMERALD ST STE 105
City
Boise
State
Idaho
ZIP Code
83704-5003
Phone
(208) 322-1642

Specialties & Taxonomy Codes

Specialty
Technician/Technologist - OpticianOptician

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