Individual
AMANDA GRISCHOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NMD, CAC
Contact information
Practice address
4219 W EMERALD ST, BOISE, ID 83706-2036
(208) 338-0405
Mailing address
4219 W EMERALD ST, BOISE, ID 83706-2036
(208) 338-0405
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
22-1739
AZ
175F00000X
Naturopath
Primary
NMD-0069
ID
Other
Enumeration date
09/26/2022
Last updated
10/18/2023
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