Organization
IDAHO HEALTH SCREENINGS & VACCINATIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIELLE BENNION (OWNER)
(208) 378-4584
Entity
Organization
Contact information
Practice address
9238 W BEACHSIDE LN, BOISE, ID 83714-6712
(208) 378-4584
(208) 376-3831
Mailing address
9238 W BEACHSIDE LN, BOISE, ID 83714-6712
(208) 378-4584
(208) 376-3831
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
05/03/2011
Last updated
05/03/2011
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