Individual
STEPHANIE CHARLOTTE DUININCK SEGURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C, L.AC.
Contact information
Practice address
111 W MAIN ST, BOISE, ID 83702-7261
(208) 342-7400
(208) 342-1879
Mailing address
524 N HILLVIEW DR, BOISE, ID 83712-8151
(208) 720-5612
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
339
ID
207Q00000X
Family Medicine Physician
Primary
61516
ID
Other
Enumeration date
06/23/2016
Last updated
01/13/2025
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