| NPI | 1790045953 |
|---|---|
| Doing Business As | INTEGRATIVE WELLNESS CENTER, LLC |
| Entity Type | Organization |
| Authorized Contact | LISA IRVING Owner 208-660-9335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: ID N18921) |
| Enumeration Date | 2012-05-22 |
| Last Update Date | 2012-05-22 |