| NPI | 1396290953 |
|---|---|
| Doing Business As | WHITE CLOUD WELLNESS |
| Entity Type | Organization |
| Authorized Contact | JOSEPH PETRIE Owner 208-833-1313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2016-08-23 |
| Last Update Date | 2024-06-26 |