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Organization

BELLY IN BALANCE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHRISTINE STEPHENSON CCHT (OWNER/MANAGER/CERTIFIED COLON HYDRO)
(208) 703-9771
Entity
Organization

Contact information

Practice address
303 12TH AVE RD, NAMPA, ID 83686-5014
(208) 465-5865
(208) 361-4266
Mailing address
2422 12TH AVE RD, #143, NAMPA, ID 83686-6300
(208) 465-5865
(208) 361-4266

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
CCHT-MCS2011
OR

Other

Enumeration date
01/09/2012
Last updated
01/09/2012
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