Individual
CHRISTINE NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
8505 W OVERLAND RD, BOISE, ID 83709-1644
(208) 306-3757
Mailing address
2817 BLACKFOOT LN APT 102, CALDWELL, ID 83605-7549
Taxonomy
Speciality
Code
Description
License number
State
111NP0017X
Pediatric Chiropractor
CHIA-2013
ID
111NP0017X
Pediatric Chiropractor
Primary
CHIA-2103
ID
Other
Enumeration date
02/23/2021
Last updated
02/23/2021
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