BRENT BURTIS MATHIEU

BOISE, ID
NPI1437231594
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy175F00000X Naturopath
(Licence: ID  NAT - 62)
Additional Taxonomies175L00000X Homeopath
Enumeration Date2006-10-19
Last Update Date2014-04-18
Business Address
DR. BRENT BURTIS MATHIEU N.D.
4130 W PLUM ST
BOISE, ID 83703-4417
Phone number: 208-338-5590
Mailing Address
DR. BRENT BURTIS MATHIEU N.D.
4130 W PLUM ST
BOISE, ID 83703-4417
Phone number: 208-338-5590
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