PASSPORT TO INDEPENDENCE,LLC
Organization (NPI-2)
Active
Clinic/Center, Occupational Medicine
Provider Information
- NPI Number
1275790081- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 764 W HEATHER WOODS DR, NAMPA, ID, 836862685
- Phone
- (208) 461-4882
Specialties & Taxonomies
Clinic/Center, Occupational Medicine
Primary License: ID #OT808