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
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/23/2022
Last updated
12/20/2024
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