Organization
RESTORED HEALTH PLLC
Active
Other names
Integrative Wellness Center, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
LISA IRVING REGISTERED NURSE (OWNER)
(208) 660-9335
Entity
Organization
Contact information
Practice address
579 W HAYDEN AVE, HAYDEN, ID 83835-9726
(208) 660-9335
Mailing address
1906 W JAMES CROWE DR, HAYDEN, ID 83835-8434
(208) 660-9335
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
N18921
ID
Other
Enumeration date
05/22/2012
Last updated
05/22/2012
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