Individual
MICHELLE D MARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
1502 W FRANKLIN ST, BOISE, ID 83702-4028
(208) 866-5570
Mailing address
1502 W FRANKLIN ST, BOISE, ID 83702-4028
(208) 866-5570
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
ACU-200
ID
Other
Enumeration date
05/31/2011
Last updated
05/31/2011
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