Provider First Line Business Practice Location Address:
402 6TH ST
Provider Second Line Business Practice Location Address:
FAMILY HEALTH SERVICES
Provider Business Practice Location Address City Name:
RUPERT
Provider Business Practice Location Address State Name:
ID
Provider Business Practice Location Address Postal Code:
83350
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
208-650-7941
Provider Business Practice Location Address Fax Number:
208-436-0735
Provider Enumeration Date:
02/26/2015