GLENN NICHOLAS

LEWISTON, ID
NPI1831219047
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy111N00000X Chiropractor
(Licence: ID  chia-760)
Enumeration Date2007-03-30
Last Update Date2007-07-08
Business Address
Dr. GLENN NICHOLAS D.C.
315 SKYLINE DR
LEWISTON, ID 83501-4220
Phone number: 208-743-4556
Mailing Address
Dr. GLENN NICHOLAS D.C.
315 SKYLINE DR
LEWISTON, ID 83501-4220
Phone number: 208-743-4567