| NPI | 1932871985 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMY LAMONT PAYNE Member 208-917-2928 |
| Organization Subpart ? | No |
| Primary Taxonomy | 175F00000X Naturopath |
| Additional Taxonomies | 163W00000X Registered Nurse |
| 208VP0000X | |
| Enumeration Date | 2021-09-29 |
| Last Update Date | 2026-08-18 |