Organization
PEINE METABOLIC WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANGELA L HOUSE D.O. (PHYSICIAN/OWNER)
(208) 947-0925
Entity
Organization
Contact information
Practice address
450 W STATE ST, SUITE 250, EAGLE, ID 83616-7057
(208) 947-0925
(208) 947-0926
Mailing address
450 W STATE ST, SUITE 250, EAGLE, ID 83616-7057
(208) 947-0925
(208) 947-0926
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
O-0370
ID
Other
Enumeration date
05/01/2013
Last updated
05/01/2013
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