| NPI | 1316629264 |
|---|---|
| Doing Business As | MAKOSHIKA WELLNESS |
| Entity Type | Organization |
| Authorized Contact | SARA PLUMMER Executive Director 208-699-8989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Enumeration Date | 2023-08-01 |
| Last Update Date | 2023-08-01 |