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Organization

BALANCED IDAHO LLC

Active
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Organization

BALANCED IDAHO LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JENNIFER LYNN MCINTYRE FNP (OWNER)
(951) 970-5773
Entity
Organization

Contact information

Practice address
2176 E FRANKLIN RD STE 100, MERIDIAN, ID 83642-8009
(208) 789-3625
(866) 435-6256
Mailing address
2176 E FRANKLIN RD STE 100, MERIDIAN, ID 83642-8009
(208) 789-3625

Taxonomy

Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary

Other

Enumeration date
10/17/2023
Last updated
10/17/2023
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