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TRITON WELLNESS SOLUTIONS & SOFTWAVE THERAPY

Organization (NPI-2) Active

Nurse Practitioner

Provider Information

NPI Number
1992408678
Provider Type
Organization / Facility (NPI-2)
Status
Active

Contact & Location

Address
210 W BURNSIDE AVE STE D, CHUBBUCK, ID, 832024916
Phone
(208) 252-5566

Specialties & Taxonomies

Nurse Practitioner Primary

All Addresses

LOCATION

210 W BURNSIDE AVE STE D

CHUBBUCK, ID, 832024916

(208) 252-5566

MAILING

210 W BURNSIDE AVE STE D

CHUBBUCK, ID, 832024916

(208) 252-5566