| NPI Details | |
|---|---|
| NPI | 1013266741 |
| Enumeration Date | 09/10/2012 |
| Last Updated | 09/10/2012 |
| Entity Type | Healthcare Provider |
| Active | Over 5 years ago |
| Authorized Information | |
|---|---|
| Name | ISMAEL MANUEL ISMAEL |
| Position | MEMBER/MANAGER |
| Phone | (208) 577-0876 |
| Fax | |
| Practice Location | |
|---|---|
| 1122 W FINCH DR NAMPA ID, 83651-1732, US |
|
| Phone | (208) 577-0876 |
| Fax | |
| Business Location | |
|---|---|
| 1122 W FINCH DR NAMPA ID, 83651-1732, US |
|
| Phone | (208) 577-0876 |
| Fax | |
| Toxanomy | |
|---|---|
| Taxonomy Code | 343900000X |
| License State | |
| License Number | |
| Remove 1013266741 NPI Number | |
According to our database, Blue Birds Specialty Services Llc NPI is 1013266741, taxonomy code is 343900000X Blue Birds Specialty Services Llc physically located at 1122 W Finch Dr, Nampa ID, 83651-1732. NPI Number 1033115704 has the healthcare provider type.
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1013266741 NPI number is provided on an as is basis without warranty of any kind. 1013266741 is maintained by the National Plan & Provider Enumeration System. The contents of Blue Birds Specialty Services Llc are for informational purposes only.
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