NOAH BLUE EDVALSON

BOISE, ID
NPI1275767519
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy111N00000X Chiropractor
(Licence: ID  CHIA-1368)
Enumeration Date2009-05-13
Last Update Date2020-02-07
Business Address
Dr. NOAH BLUE EDVALSON D.C., F.I.A.M.A.
3224 N MAPLE GROVE RD
BOISE, ID 83704-4214
Phone number: 208-629-5374
Mailing Address
Dr. NOAH BLUE EDVALSON D.C., F.I.A.M.A.
3224 N MAPLE GROVE RD
BOISE, ID 83704-4214
Phone number: 208-629-5374