Individual
EDENE CHRISTENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10740 W FAIRVIEW AVE, SUITE 100, BOISE, ID 83713-8021
(208) 376-0191
Mailing address
10740 W FAIRVIEW AVE, SUITE 100, BOISE, ID 83713-8021
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/06/2012
Last updated
06/06/2012
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