| Shadow Pines Health & Wellness Llc | |
|
408 S Eagle Rd Ste 205 Eagle ID 83616-6079 | |
| (208) 244-0534 | |
| (984) 355-0375 |
| Full Name | Shadow Pines Health & Wellness Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 408 S Eagle Rd Ste 205, Eagle, Idaho |
| Authorized Official Name and Position | Joslyn Sciarrino (OWNER) |
| Authorized Official Contact | 2082440534 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shadow Pines Health & Wellness Llc 408 S Eagle Rd Ste 205 Eagle ID 83616-6079 Ph: (208) 244-0534 | Shadow Pines Health & Wellness Llc 408 S Eagle Rd Ste 205 Eagle ID 83616-6079 Ph: (208) 244-0534 |
| NPI Number | 1851094619 |
|---|---|
| Provider Enumeration Date | 03/22/2023 |
| Last Update Date | 03/22/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851094619 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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