Provider Demographics
NPI:1821799347
Name:GOLDEN HOUR ACUPUNCTURE & WELLNESS
Entity Type:Organization
Organization Name:GOLDEN HOUR ACUPUNCTURE & WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:KIRSTEN
Authorized Official - Middle Name:
Authorized Official - Last Name:MALMENDIER
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:916-224-3242
Mailing Address - Street 1:1582 FAIRWAY ST
Mailing Address - Street 2:
Mailing Address - City:MIDDLETON
Mailing Address - State:ID
Mailing Address - Zip Code:83644-5052
Mailing Address - Country:US
Mailing Address - Phone:916-628-2205
Mailing Address - Fax:
Practice Address - Street 1:12 N ECHOHAWK LN STE 104
Practice Address - Street 2:
Practice Address - City:EAGLE
Practice Address - State:ID
Practice Address - Zip Code:83616-4011
Practice Address - Country:US
Practice Address - Phone:208-391-3732
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-13
Last Update Date:2023-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty