Organization
DAMIEN LLC
Active
Other names
holistic healing and human performance
Organization subpart
No
Provider details
NPI number
Authorized official
DEVIN ORTON D.C. (OWNER)
(208) 871-9095
Entity
Organization
Contact information
Practice address
1497 E. DRUCKER LN, MERIDIAN, ID 83642-9998
(208) 871-9095
Mailing address
1497 E. DRUCKER LN, MERIDIAN, ID 83642-9998
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA1421
ID
Other
Enumeration date
10/22/2010
Last updated
04/10/2013
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