| NPI | 1497203905 |
|---|---|
| Doing Business As | IDAHO FACIAL IMAGING |
| Entity Type | Organization |
| Authorized Contact | ELLIE BEUKELMAN Owner/Operator 208-514-4740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2471C3401X Radiologic Technologist, Computed Tomography (Licence: ID 4D2095) |
| Enumeration Date | 2016-09-13 |
| Last Update Date | 2016-09-13 |