Individual
GEORGE JACOB ROSENBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DIPL. AC., LAC.
Contact information
Practice address
10074 W FAIRVIEW AVE STE 150, BOISE, ID 83704-5002
(540) 878-6041
Mailing address
1656 S LOGGERS POND PL APT 22, BOISE, ID 83706-7509
(540) 878-6041
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
ACU-408
ID
Other
Enumeration date
02/16/2021
Last updated
02/16/2021
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