LILY PAD WELLNESS, LLC

POCATELLO, ID
NPI1275214660
Entity TypeOrganization
Authorized ContactSTEPHANIE A CLARK
Owner
208-549-7385
Organization Subpart ?No
Primary Taxonomy363L00000X Nurse Practitioner
Enumeration Date2023-07-27
Last Update Date2023-07-27
Business Address
LILY PAD WELLNESS, LLC
1951 BENCH RD STE A
POCATELLO, ID 83201-2073
Phone number: 208-549-7385
Mailing Address
LILY PAD WELLNESS, LLC
1951 BENCH RD STE A
POCATELLO, ID 83201-2073
Phone number: 208-549-7385
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