SearchIdahoPrivate Vehicle

Sagean Daw

NPI 1114451390 · on the registry since 2017 · sole proprietor

Practice

Address
1624 Angela St
Chubbuck, ID 83202
Phone
(208) 680-8637

Registry record

Primary taxonomy
Private Vehicle
347C00000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2017-04-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho