Organization
LICE CLINICS OF BOISE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SALEAH ANN SNELLING (OWNER)
(208) 999-0289
Entity
Organization
Contact information
Practice address
2650 S EAGLE RD STE 120, MERIDIAN, ID 83642-6704
(208) 999-0289
Mailing address
2650 S EAGLE RD STE 120, MERIDIAN, ID 83642-6704
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
03/06/2017
Last updated
03/06/2017
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