| NPI | 1144057852 |
|---|---|
| Doing Business As | RIVER HORSE MEDICAL CLINIC, PLLC |
| Entity Type | Organization |
| Authorized Contact | JENNIFER GRINAGE Owner/CEO 208-792-1011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care |
| Enumeration Date | 2024-09-17 |
| Last Update Date | 2024-11-14 |