Optimal Health And Wellness

NPI 1104204957 - Clinic/Center - 261QC1500X

NPI Details
NPI 1104204957
Enumeration Date 05/13/2015
Last Updated 05/13/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name DEANA KAY DEANA
Position OWNER
Phone (509) 780-1132
Fax
Practice Location
2841 JUNIPER DR
LEWISTON ID, 83501-4719, US
Phone (509) 780-1132
Fax
Business Location
2841 JUNIPER DR
LEWISTON ID, 83501-4719, US
Phone
Fax
Toxanomy
Taxonomy Code 261QC1500X
License State
License Number
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According to our database, Optimal Health And Wellness NPI is 1104204957, taxonomy code is 261QC1500X Optimal Health And Wellness physically located at 2841 Juniper Dr, Lewiston ID, 83501-4719. NPI Number 1033115704 has the healthcare provider type.

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1104204957 NPI number is provided on an as is basis without warranty of any kind. 1104204957 is maintained by the National Plan & Provider Enumeration System. The contents of Optimal Health And Wellness are for informational purposes only.