Individual
MRS. DAVIDA HELENE MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
5909 W STATE ST, BOISE, ID 83703-3039
(208) 343-7700
Mailing address
2415 W ANDERSON ST, BOISE, ID 83702-0246
(208) 216-9829
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
ACU-264
ID
Other
Enumeration date
05/08/2019
Last updated
05/08/2019
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