Organization
THE HEALTH RANCH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAY DEE MANGUM DC (PRESIDENT)
(208) 961-0297
Entity
Organization
Contact information
Practice address
1100 N LINCOLN AVE, JEROME, ID 83338-1856
(208) 324-6656
(208) 324-1492
Mailing address
1100 N LINCOLN AVE, JEROME, ID 83338-1856
(208) 324-6656
(208) 324-1492
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA-1725
ID
Other
Enumeration date
02/01/2017
Last updated
02/01/2017
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