Individual
THERESE MINJARES HAHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D., O.M.D., L.AC.
Contact information
Practice address
1405 LITTLE BLACKTAIL ROAD, CAREYWOOD, ID 83809
(208) 683-5211
Mailing address
P. O. BOX 341, COCOLALLA, ID 83813
(208) 683-5211
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
ACU3
ID
Other
Enumeration date
06/08/2007
Last updated
07/08/2007
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