RENU MEDISPA

EAGLE, ID
NPI1407129125
Entity TypeOrganization
Authorized ContactTAWNI WEAVER
Director
208-939-4456
Organization Subpart ?No
Primary Taxonomy261Q00000X Clinic/Center
(Licence: ID  NP784A)
Enumeration Date2012-02-10
Last Update Date2012-04-30
Business Address
RENU MEDISPA
951 E PLAZA DR SUITE 150
EAGLE, ID 83616-6566
Phone number: 208-939-4456
Mailing Address
RENU MEDISPA
951 E PLAZA DR SUITE 150
EAGLE, ID 83616-6566
Phone number: 208-939-4456
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