| Miranda Palmer Llc | |
|
429 Sw 5th Ave Ste 110 Meridian ID 83642-5037 | |
| (208) 490-2234 | |
| Not Available |
| Full Name | Miranda Palmer Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 429 Sw 5th Ave Ste 110, Meridian, Idaho |
| Authorized Official Name and Position | Miranda Palmer (OWNER) |
| Authorized Official Contact | 2084902234 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Miranda Palmer Llc 429 Sw 5th Ave Ste 110 Meridian ID 83642-5037 Ph: (208) 490-2234 | Miranda Palmer Llc 429 Sw 5th Ave Ste 110 Meridian ID 83642-5037 Ph: (208) 490-2234 |
| NPI Number | 1235908930 |
|---|---|
| Provider Enumeration Date | 12/22/2023 |
| Last Update Date | 12/22/2023 |
| Certification Date | 12/22/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235908930 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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