Individual
NICOLE PRATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
101 W MULLAN AVE, POST FALLS, ID 83854-9217
(208) 469-3929
Mailing address
101 W MULLAN AVE, POST FALLS, ID 83854-9217
(208) 469-3929
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA-2339
ID
Other
Enumeration date
06/19/2023
Last updated
09/06/2024
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