Search › Idaho › 101YA0400X
Miguel Mouw, ICADC
NPI 1205182912 · on the registry since 2012 · sole proprietor
Practice
- Address
- 205 Oakhurst Way
Boise, ID 83709 - Phone
- (208) 353-5846
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-07-31
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho