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Organization

DEVA WELLNESS PLLC

Active
Other names
Ritual Wellness
Organization subpart
No

Provider details

NPI number
Authorized official
TAMRA KATHERINE GERYK APRN, FNP-C (OWNER, FNP-X)
(413) 687-3027
Entity
Organization

Contact information

Practice address
1620 W BANNOCK ST, BOISE, ID 83702-5156
(208) 918-2242
Mailing address
4280 N GINZEL ST, BOISE, ID 83703-4214
(413) 687-3027

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary

Other

Enumeration date
06/27/2024
Last updated
06/27/2024
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