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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