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Organization

PALMA FAMILY PRACTICE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SANDY PALMA NP (OWNER)
(773) 386-1861
Entity
Organization

Contact information

Practice address
130 S BROADWAY ST STE B, BLACKFOOT, ID 83221-2711
(208) 242-7698
Mailing address
130 S BROADWAY ST STE B, BLACKFOOT, ID 83221-2711
(208) 242-7698

Taxonomy

Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary

Other

Enumeration date
06/07/2024
Last updated
06/07/2024
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