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Individual

CHRISTINA VAN DER MEULEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.AC.

Contact information

Practice address
717 ELM ST., BELLEVUE, ID 83313
(208) 720-6513
(208) 788-2287
Mailing address
PO BOX 4588, HAILEY, ID 83333-4588
(208) 720-6513
(208) 788-2287

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
ACU 140
ID

Other

Enumeration date
08/12/2014
Last updated
08/12/2014
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