# AWAKENINGS ACUPUNCTURE & HERBAL CLINIC, LLC

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

## Provider details

- **NPI number:** 1790029650
- **Authorized official:** MS. JEANETTE K. MORRIS LAC (MANAGER)
- **Authorized official phone:** (208) 660-6777

## Contact information

- **Practice address:** 9751 N GOVERNMENT WAY, STE 1, HAYDEN, ID 83835-9645
- **Practice address phone:** (208) 660-6777
- **Practice address fax:** (208) 772-7737
- **Mailing address:** 9751 N GOVERNMENT WAY, STE 1, HAYDEN, ID 83835-9645
- **Mailing address phone:** (208) 660-6777
- **Mailing address fax:** (208) 772-7737

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | ACU-206 | ID | Yes |

## Other

- **Enumeration date:** 11/15/2012
- **Last updated:** 11/15/2012