NPI | 1669732350 |
---|---|
Entity Type | Organization |
Authorized Contact | JERRY LEE BAILEY Owner/Partner 208-758-0568 |
Organization Subpart ? | No |
Primary Taxonomy | 175F00000X Naturopath (Licence: WA NT00001257) |
Additional Taxonomies | 171100000X Acupuncturist (Licence: ID ACU-148) |
111N00000X Chiropractor (Licence: ID CHIA-932) | |
Enumeration Date | 2012-05-29 |
Last Update Date | 2012-05-29 |