Individual
KAILEY ROSE SHELDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
320 11TH AVE S, NAMPA, ID 83651-5073
(208) 466-1077
Mailing address
320 11TH AVE S, NAMPA, ID 83651-5073
(208) 466-1077
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
05/09/2018
Last updated
05/09/2018
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