Evergreen Wellness Partners, LLC

NPI #1811402431 in Meridian, Idaho

Provider Information

NPI Number
1811402431
Entity Type
Organization
Organization Name
Evergreen Wellness Partners, LLC
Primary Specialty
Chiropractor
Enumeration Date
Dec 5, 2017
Last Updated
Dec 5, 2017

Practice Location

Address
1710 W CHERRY LN
State
Idaho
ZIP Code
83642-1340
Phone
(208) 895-8595

Authorized Official

Name
MS. SUMMER DAYE DANCE
Title
EXECUTIVE DIRECTOR
Phone
(208) 895-8595

Specialties & Taxonomy Codes

Specialty
Chiropractor

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