| NPI | 1194341818 |
|---|---|
| Doing Business As | NORTH IDAHO CHIROPRACTIC NEUROLOGY CENTER |
| Entity Type | Organization |
| Authorized Contact | FOREST BLAKE AMBRIDGE Owner 208-946-5888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2020-06-18 |
| Last Update Date | 2020-06-18 |