Individual
AMANDA RAE GUILMETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IS
Contact information
Practice address
520 LAKE LOWELL AVE, NAMPA, ID 83686-6619
(208) 519-2278
Mailing address
520 LAKE LOWELL AVE, NAMPA, ID 83686-6619
(208) 519-2278
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
ID
Other
Enumeration date
04/09/2024
Last updated
04/09/2024
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