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Organization
JOURNEY HEALTHCARE LLC
Active
Organization
JOURNEY HEALTHCARE LLC
Active
Other names
Wellness and Aesthetics Clinic of Idaho
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDRIA MWANGA DNP, FNP-C (MEDICAL DIRECTOR)
(208) 380-9906
Entity
Organization
Contact information
Practice address
1965 S EAGLE RD STE 180, MERIDIAN, ID 83642-9246
(986) 666-3866
(986) 666-3038
Mailing address
1965 S EAGLE RD STE 180, MERIDIAN, ID 83642-9246
(986) 666-3866
(986) 666-3038
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
—
NULL
171400000X
Health & Wellness Coach
—
—
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/23/2022
Last updated
12/20/2024
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