| NPI | 1932793056 |
|---|---|
| Doing Business As | IDAHO WELLNESS COMPANY |
| Entity Type | Organization |
| Authorized Contact | JASON SYREK Doctor 208-408-3544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2021-03-01 |
| Last Update Date | 2021-03-01 |