Organization
HAPPY ZONE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL P GARRETT CRNA (OWNER)
(208) 794-0159
Entity
Organization
Contact information
Practice address
811 N LIBERTY ST, BOISE, ID 83704-8703
(208) 323-4522
Mailing address
1601 E 17TH STREET, IDAHO FALLS, ID 83404
(208) 525-2090
(208) 523-8978
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RNA462
WY
Other
Enumeration date
07/09/2014
Last updated
07/09/2014
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