Individual
MRS. NANCY MARIE LARIMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
2484 ROCK CREEK RD, HANSEN, ID 83334-5252
(707) 695-0449
Mailing address
2484 ROCK CREEK RD, HANSEN, ID 83334-5252
(707) 695-0449
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
ID
Other
Enumeration date
01/17/2021
Last updated
01/17/2021
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