Individual
DR. RICHELLE RAE WHITEHEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
405 S 8TH ST STE 290, BOISE, ID 83702-7100
(208) 342-7136
Mailing address
1226 E JEFFERSON ST, BOISE, ID 83712-7908
(208) 540-0883
Taxonomy
Speciality
Code
Description
License number
State
111NP0017X
Pediatric Chiropractor
Primary
CHIA-2045
ID
Other
Enumeration date
05/19/2021
Last updated
05/19/2021
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