Provider First Line Business Practice Location Address:
111 E. 16TH STREET
Provider Second Line Business Practice Location Address:
INNOVATIVE HEALTH CARE CONCEPTS INC.
Provider Business Practice Location Address City Name:
IDAHO FALLS
Provider Business Practice Location Address State Name:
ID
Provider Business Practice Location Address Postal Code:
83401
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
208-529-8526
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/27/2013