specializing in peer specialist in Chubbuck, Idaho

NPI: 1700425600

Provider Type

2

Practice Locations

Mailing Location

265 E CHUBBUCK RD

CHUBBUCK, ID 83202

📞 2082371711

📠 2082379806

Practice Location

265 E CHUBBUCK RD

CHUBBUCK, ID 83202

📞 2082371711

📠 2082379806

Provider Information

Gender:
Sole Proprietor:No
Enumeration Date:12/26/2019
Last Updated:1/13/2020

Credentials

Primary Credential:
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