Organization
IACCINO HOLDINGS PLLC
Active
Other names
Resolve Functional Health
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH IACCINO DC, MS (OWNER/ CLINIC DIRECTOR)
(661) 674-7854
Entity
Organization
Contact information
Practice address
223 N 6TH ST STE 40, BOISE, ID 83702-6092
(661) 674-7854
Mailing address
223 N 6TH ST STE 40, BOISE, ID 83702-6092
(661) 674-7854
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
CHIA-1537
ID
Other
Enumeration date
01/13/2015
Last updated
01/13/2015
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