Individual
STANISLAV KRAVCHUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6290 E LEMHI CT, NAMPA, ID 83687-9177
(208) 509-9400
Mailing address
6290 E LEMHI CT, NAMPA, ID 83687-9177
(208) 509-9400
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
—
—
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
02/17/2023
Last updated
02/17/2023
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