Individual
MRS. PAIGE WIMMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
686 N 9TH ST, BOISE, ID 83702-5458
(208) 392-3472
Mailing address
686 N 9TH ST, BOISE, ID 83702-5458
(208) 392-3472
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
12068
CA
171100000X
Acupuncturist
Primary
ACU-233
ID
Other
Enumeration date
01/18/2008
Last updated
05/11/2009
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