Premier Life Wellness LLC
NPI #1952571234 in Twin Falls, Idaho
Provider Information
- NPI Number
- 1952571234
- Entity Type
- Organization
- Organization Name
- Premier Life Wellness LLC
- Primary Specialty
- Health Maintenance Organization
- Enumeration Date
- Mar 3, 2008
- Last Updated
- Mar 3, 2008
Practice Location
- Address
- 1625 ADDISON AVE E
- City
- Twin Falls
- State
- Idaho
- ZIP Code
- 83301-5343
- Phone
- (208) 735-2442
Authorized Official
- Name
- LORAINE M GUMPER, DC
- Title
- OWNER
- Phone
- (208) 735-2442
Specialties & Taxonomy Codes
| Specialty |
|---|
| Health Maintenance Organization |
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