Organization
MOSCOW HEALTH AND WELLNESS CENTER, P.L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BAILEY LYNN SMITH D.C. (DOCTOR OF CHIROPRACTIC)
(310) 740-6141
Entity
Organization
Contact information
Practice address
317 W 6TH ST STE 206, MOSCOW, ID 83843-2387
(310) 740-6141
Mailing address
317 W 6TH ST STE 206, MOSCOW, ID 83843-2387
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA-1387
ID
111N00000X
Chiropractor
—
ID
Other
Enumeration date
11/13/2009
Last updated
11/13/2009
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