Individual
PASCAL BRETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
950 E RIVERSIDE DR, EAGLE, ID 83616-6020
(208) 939-2502
Mailing address
950 E RIVERSIDE DR, EAGLE, ID 83616-6020
(208) 939-2502
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA-1662
ID
Other
Enumeration date
11/02/2015
Last updated
11/02/2015
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