North End Wellness, Llc

NPI 1306230958 - Psychologist - 103T00000X

NPI Details
NPI 1306230958
Enumeration Date 03/21/2015
Last Updated 03/21/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name DAVID DAVID
Position OWNER
Phone (208) 949-6765
Fax
Practice Location
1310 W HAYS ST
BOISE ID, 83702-5025, US
Phone (208) 949-6765
Fax
Business Location
1310 W HAYS ST
BOISE ID, 83702-5025, US
Phone
Fax
Toxanomy
Taxonomy Code 103T00000X
License State Idaho
License Number 202232
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According to our database, North End Wellness, Llc NPI is 1306230958, taxonomy code is 103T00000X and license number is 202232, license state is located at Idaho. North End Wellness, Llc physically located at 1310 W Hays St, Boise ID, 83702-5025. NPI Number 1033115704 has the healthcare provider type.

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1306230958 NPI number is provided on an as is basis without warranty of any kind. 1306230958 is maintained by the National Plan & Provider Enumeration System. The contents of North End Wellness, Llc are for informational purposes only.