Individual
MARCO ANTONIO RUVALCABA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
3223 E LOUISE AVE, SUITE 110, MERIDIAN, ID 83642
(208) 466-0200
(208) 648-4086
Mailing address
3223 E LOUISE AVE, SUITE 110, MERIDIAN, ID 83642
(208) 466-0200
(208) 648-4086
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
34180
CA
111N00000X
Chiropractor
Primary
6461971
ID
Other
Enumeration date
04/21/2018
Last updated
11/12/2024
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