| 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 |