Organization
5 PEPPERS INC
Active
Other names
Acacia Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
DEO MARIE PEPPERSACK DNP (OWNER)
(208) 498-1760
Entity
Organization
Contact information
Practice address
217 W. GEORGIA AVE. STE 120, NAMPA, ID 83686
(208) 498-1760
Mailing address
217 W. GEORGIA AVE. STE 120, NAMPA, ID 83686
(208) 498-1760
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/03/2016
Last updated
05/03/2016
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