Individual
KATIE GARCIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L/ATC
Contact information
Practice address
1407 E BOSTON DR, BOISE, ID 83706
(208) 954-1094
Mailing address
1407 E BOSTON DR, BOISE, ID 83706
(208) 954-1094
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
AT-337
ID
Other
Enumeration date
01/20/2016
Last updated
01/20/2016
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