Individual
DR. OLIVIA HERRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
107 14TH AVE S, NAMPA, ID 83651-4309
(208) 466-2536
Mailing address
107 14TH AVE S, NAMPA, ID 83651-4309
(208) 466-2536
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA-1723
ID
Other
Enumeration date
06/12/2017
Last updated
07/21/2022
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