Individual
CASSIDY BOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
1326 N MAIN ST, MERIDIAN, ID 83642-1703
(208) 884-3368
Mailing address
170 E PARKWAY DR, BOISE, ID 83706-4010
(262) 902-3220
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA-2391
ID
Other
Enumeration date
01/08/2024
Last updated
01/08/2024
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