| NPI | 1568283158 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA ANDROSOV Naturopathic Doctor 208-610-3779 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2024-10-17 |
| Last Update Date | 2024-10-17 |