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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