Individual
ANAIS ORTEGA QUINONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
8631 W ARDENE ST, BOISE, ID 83709-2601
(208) 629-1904
(208) 545-1846
Mailing address
8631 W ARDENE ST, BOISE, ID 83709-2601
(208) 629-1904
(208) 545-1846
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA2334
ID
Other
Enumeration date
05/05/2023
Last updated
05/05/2023
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