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Organization

MOBILE CHIROPRACTIC AND WELLNESS PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JILLAINE DAWN ST.MICHEL D.C. (OWNER)
(208) 570-9388
Entity
Organization

Contact information

Practice address
3784 N CHOCAYA PL, MERIDIAN, ID 83646-6075
(208) 570-9388
Mailing address
3784 N CHOCAYA PL, MERIDIAN, ID 83646-6075
(208) 570-9388

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA-1661
ID

Other

Enumeration date
04/19/2017
Last updated
04/19/2017
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