Organization
THE GARDENS CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TYSON WLILIAN DEVEREUX D.C. (CHIROPRACTOR)
(208) 608-8283
Entity
Organization
Contact information
Practice address
2007 N WHITLEY DR, FRUITLAND, ID 83619-2132
(208) 695-0098
Mailing address
2007 N WHITLEY DR, FRUITLAND, ID 83619-2132
(208) 608-8283
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
CHIA-1540
ID
Other
Enumeration date
01/21/2015
Last updated
01/21/2015
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