Celebrate Life Wellness
NPI #1366811267 in Boise, Idaho
Provider Information
- NPI Number
- 1366811267
- Entity Type
- Organization
- Organization Name
- Celebrate Life Wellness
- Primary Specialty
- Preferred Provider Organization
- Enumeration Date
- Sep 21, 2015
- Last Updated
- Sep 21, 2015
Practice Location
Authorized Official
- Name
- TIFFANY GAURON
- Title
- OFFICE MANAGER
- Phone
- (208) 376-5433
Specialties & Taxonomy Codes
| Specialty |
|---|
| Preferred Provider Organization |
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