Organization
RENEW AESTHETICS AND IV HYDRATION BAR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA ANN SATTLER RN (OWNER)
(208) 699-9470
Entity
Organization
Contact information
Practice address
515 N 4TH ST STE 2, COEUR D ALENE, ID 83814-2927
(208) 930-6823
Mailing address
3643 W PINERIDGE DR, COEUR D ALENE, ID 83815-8094
(208) 699-9470
Taxonomy
Speciality
Code
Description
License number
State
163WI0500X
Infusion Therapy Registered Nurse
Primary
—
—
Other
Enumeration date
11/27/2019
Last updated
11/27/2019
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