Individual
MARIA MORRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
220 SOUTH 2ND AVE #101, KETCHUM, ID 83340
(208) 721-7240
Mailing address
PO BOX 5952, KETCHUM, ID 83340-5952
(208) 721-7240
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
ACU 225
ID
Other
Enumeration date
04/30/2014
Last updated
04/30/2014
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