Individual
KRISTEN BURRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC. , M.S.T.O.M.
Contact information
Practice address
507 S FITNESS PL # 100, EAGLE, ID 83616-6552
(208) 938-1277
Mailing address
507 S FITNESS PL # 100, EAGLE, ID 83616-6552
(208) 938-1277
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
ACU-219
ID
Other
Enumeration date
04/13/2023
Last updated
04/13/2023
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