# JEON'S ACUPUNCTURE, HEALTH EDUCATION & NATURAL MEDICINE CENTER, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558633164
- **Authorized official:** MRS. EUNICE YEONSEUNG JEON MSOM, L.AC (PRESIDENT)
- **Authorized official phone:** (208) 901-1956

## Contact information

- **Practice address:** 2235 S BROADWAY AVE, BOISE, ID 83706-4617
- **Practice address phone:** (208) 901-1956
- **Mailing address:** 2235 S BROADWAY AVE, BOISE, ID 83706-4617
- **Mailing address phone:** (208) 901-1956

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | ACU-275 | ID | Yes |

## Other

- **Enumeration date:** 01/30/2012
- **Last updated:** 01/30/2012