| NPI | 1710387485 |
|---|---|
| Doing Business As | EVERGREEN WELLNESS STUDIOS |
| Entity Type | Organization |
| Authorized Contact | LAUREN MARIE DONBAR Owner 208-895-8595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: ID CHIA-1555) |
| Enumeration Date | 2014-08-29 |
| Last Update Date | 2014-08-29 |