Individual
MS. KRISTINA M. KATINKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSOM L.AC.
Contact information
Practice address
1080 W BOISE AVE, BOISE, ID 83706-3502
(208) 412-5412
Mailing address
1080 W BOISE AVE, BOISE, ID 83706-3502
(208) 412-5412
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
ACU176
ID
Other
Enumeration date
08/30/2007
Last updated
08/30/2007
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