Individual
MIRIAM BAILA HAYMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
963 SOUTH ORCHARD STREET, SUITE 101, BOISE, ID 83705
(208) 310-8887
Mailing address
2008 W. SUNRISE RIM RD, BOISE, ID 83705
(208) 310-8887
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
17525
CA
171100000X
Acupuncturist
ACU-433
ID
Other
Enumeration date
06/18/2017
Last updated
05/24/2022
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