Organization
RIVER CITY INTEGRATED HEALTH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNNETTE KHANDAKER NP (OWNER)
(480) 212-3702
Entity
Organization
Contact information
Practice address
901 N CURTIS RD STE 103, BOISE, ID 83706-1339
(480) 212-3702
Mailing address
1036 E BRUSH CREEK ST, KUNA, ID 83634-5542
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/11/2019
Last updated
09/11/2019
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