Organization
JERICHO HEALTH & WELLNESS, PC
Active
Other names
Jericho Chiropractic Health
Organization subpart
No
Provider details
NPI number
Authorized official
KELSEY J SRSTKA (VICE PRESIDENT/OFFICE MANAGER)
(208) 664-5455
Entity
Organization
Contact information
Practice address
1250 W IRONWOOD DR, SUITE 301, COEUR D ALENE, ID 83814-2679
(208) 664-5455
(208) 664-5422
Mailing address
1250 W IRONWOOD DR, SUITE 301, COEUR D ALENE, ID 83814-2679
(208) 664-5455
(208) 664-5422
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA-1369
ID
Other
Enumeration date
08/18/2009
Last updated
09/15/2009
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