Vitanovu, P.c.

NPI 1821490335 - Clinic/Center - 261Q00000X

NPI Details
NPI 1821490335
Enumeration Date 09/16/2014
Last Updated 01/26/2016
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name JENIFER LEAH JENIFER
Position DIRECTOR/OWNER
Phone (208) 344-8482
Fax (208) 345-5426
Practice Location
1525 S OWYHEE ST
BOISE ID, 83705-6014, US
Phone (208) 344-8482
Fax (208) 345-5426
Business Location
1525 S OWYHEE ST
BOISE ID, 83705-6014, US
Phone (208) 344-8482
Fax (208) 345-5426
Toxanomy
Taxonomy Code 261Q00000X
License State Idaho
License Number M-11233
Remove 1821490335 NPI Number
 

According to our database, Vitanovu, P.c. NPI is 1821490335, taxonomy code is 261Q00000X and license number is M-11233, license state is located at Idaho. Vitanovu, P.c. physically located at 1525 S Owyhee St, Boise ID, 83705-6014. NPI Number 1033115704 has the healthcare provider type.

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1821490335 NPI number is provided on an as is basis without warranty of any kind. 1821490335 is maintained by the National Plan & Provider Enumeration System. The contents of Vitanovu, P.c. are for informational purposes only.