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Passport To Independence,llc
Occupational Medicine Clinic/Center in Nampa, Idaho
NPI 1275790081

Passport To Independence,llc is a Occupational Medicine Clinic/Center based in Nampa, ID and is specialized in Occupational Medicine. Passport To Independence,llc practices in Nampa, ID. The NPI Number for Passport To Independence,llc is 1275790081 and holds a License No. OT808 (Idaho).

The current practice location address for Passport To Independence,llc is 764 W Heather Woods Dr, Nampa, ID and can be reached out via phone at 208-461-4882.

Location: 764 W Heather Woods Dr, Nampa, ID, 83686-2685
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1275790081
Provider Name
Passport To Independence,llc
Credential
Provider Entity Type
Organization
Address
764 W Heather Woods Dr, Nampa, ID, 83686-2685
Phone Number
208-461-4882
Fax Number
Provider Enumeration Date
05/20/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
764 W Heather Woods Dr
City
Nampa
State
Idaho
Zip
83686-2685
Phone Number
208-461-4882
Fax Number
person
Provider Business Mailing Address Details
Address
764 W Heather Woods Dr
City
Nampa
State
Idaho
Zip
83686-2685
Phone Number
208-461-4882
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Occupational Medicine
Taxonomy
261QX0100X
License No.
OT808 (Idaho)
Definition
Definition to come...
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