| NPI | 1912614520 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVA MARIE GARCIA Owner/Provider 208-244-0021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QI0500X Clinic/Center, Infusion Therapy |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2022-11-02 |
| Last Update Date | 2025-01-30 |