Individual
ASA BATTISTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ACUPUNCTURIST
Contact information
Practice address
715 W OFARRELL ST, BOISE, ID 83702-4204
(208) 353-4417
Mailing address
715 W OFARRELL ST, BOISE, ID 83702-4204
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
ACU-237
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28217
NCCAOM
—
Enumeration date
02/21/2023
Last updated
02/21/2023
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