RYAN PEDERSEN

BOISE, ID
NPI1437354453
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171100000X Acupuncturist
(Licence: ID  ACU-119)
Additional Taxonomies171100000X Acupuncturist
(Licence: ID  NM 831)
Enumeration Date2007-06-19
Last Update Date2007-07-09
Business Address
-- RYAN PEDERSEN L.Ac., D.O.M.
8783 WEST HACKAMORE DRIVE SUITE #8
BOISE, ID 83709
Phone number: 208-376-7172
Mailing Address
-- RYAN PEDERSEN L.Ac., D.O.M.
8783 WEST HACKAMORE DRIVE SUITE #8
BOISE, ID 83709
Phone number: 208-376-7172