Organization
HEALTH AND WELLNESS
Active
Other names
CYNTHIA M RICE
Organization subpart
No
Provider details
NPI number
Authorized official
ZAC D RICE (ADMINISTRATOR)
(208) 233-9355
Entity
Organization
Contact information
Practice address
1553 E CENTER ST, POCATELLO, ID 83201-4135
(208) 233-9355
(208) 233-9300
Mailing address
1553 E CENTER ST, POCATELLO, ID 83201-4135
(208) 233-9355
(208) 233-9300
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
DME334
ID
Other
Enumeration date
07/29/2009
Last updated
07/29/2009
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