Individual
MRS. STEPHANIE LAU BABAUTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
1500 W BARRETT DR, MERIDIAN, ID 83642-3728
(208) 629-4920
Mailing address
1500 W BARRETT DR, MERIDIAN, ID 83642-3728
(208) 629-4920
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
ACU-312
ID
Other
Enumeration date
04/19/2013
Last updated
04/10/2017
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