Individual
REBECCA BRESHEARS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7750 W CRESTWOOD DR, BOISE, ID 83704-3000
(208) 376-5433
Mailing address
7750 W CRESTWOOD DR, BOISE, ID 83704-3000
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
C0610
ID
Other
Enumeration date
09/21/2015
Last updated
09/21/2015
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