Organization
COMMUNITY CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAIME GARVIN (MEMBER)
(208) 731-6241
Entity
Organization
Contact information
Practice address
640 FROGS LNDG, HAGERMAN, ID 83332-5034
(208) 731-6241
Mailing address
PO BOX 403, HAGERMAN, ID 83332-0403
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
08/15/2024
Last updated
08/15/2024
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