Individual
KAITLIN RODELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPH
Contact information
Practice address
55 E MARYANNA LN, HAYDEN, ID 83835-5162
(509) 595-0850
Mailing address
55 E MARYANNA LN, HAYDEN, ID 83835-5162
(509) 595-0850
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/31/2021
Last updated
08/23/2022
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