NPI | 1104332048 |
---|---|
Doing Business As | THE HEALTH AND WELLNESS SLEEP INSTITUTE OF POCATELLO |
Entity Type | Organization |
Authorized Contact | JACOB ERICKSON CEO 208-785-3801 |
Organization Subpart ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner |
Enumeration Date | 2017-12-14 |
Last Update Date | 2017-12-14 |