POCATELLO WELLNESS CLINIC, LLC

POCATELLO, ID
NPI1437615952
Entity TypeOrganization
Authorized ContactDUSTIN RENO
Owner
208-637-9610
Organization Subpart ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
Enumeration Date2019-02-20
Last Update Date2024-04-23
Business Address
POCATELLO WELLNESS CLINIC, LLC
1155 YELLOWSTONE AVE STE D
POCATELLO, ID 83201-4369
Phone number: 208-637-9610
Mailing Address
POCATELLO WELLNESS CLINIC, LLC
1155 YELLOWSTONE AVE STE D
POCATELLO, ID 83201-4369
Phone number: 208-637-9610
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