River City Integrated Health INC

NPI #1124677141 in Boise, Idaho

Provider Information

NPI Number
1124677141
Entity Type
Organization
Organization Name
River City Integrated Health INC
Primary Specialty
Nurse Practitioner
Enumeration Date
Sep 11, 2019
Last Updated
Sep 11, 2019

Practice Location

Address
901 N CURTIS RD STE 103
City
Boise
State
Idaho
ZIP Code
83706-1339
Phone
(480) 212-3702

Authorized Official

Name
LYNNETTE KHANDAKER, NP
Title
OWNER
Phone
(480) 212-3702

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner

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