STATE OF IDAHO

Public Health or Welfare Agency

NPI: 1235260829Organization

Specialties, Licenses & Credentials

Public Health or Welfare AgencyPrimary

Public Health or Welfare

Code: 251K00000X

Contact & Hours

Address: 1901 ALVIN RICKEN DR
POCATELLO, ID 83201
Phone: (208) 239-5242

Location

Practice Location

1901 ALVIN RICKEN DR, POCATELLO, ID

Quick Facts

NPI: 1235260829
Entity Type: Organization
Medicare: Not confirmed
Specialties: 1
Locations: 1

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