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Elizabeth Balleweg
NPI 1295372308 · on the registry since 2019 · sole proprietor
Practice
- Address
- 2306 N 31st St
Boise, ID 83703 - Phone
- (406) 546-7469
Registry record
- Primary taxonomy
- 363LP2300X
363LP2300X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-12-09
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