Individual
MRS. EUNICE YEONSEUNG JEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
2235 S. BROADWAY AVE., BOISE, ID 83706-4617
(208) 901-1956
Mailing address
3000 N ESQUIRE DR, BOISE, ID 83704-6219
(208) 901-1956
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
ACU-275
ID
Other
Enumeration date
09/20/2011
Last updated
03/16/2012
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