Individual
MAICEE AEOLA ZUMWALT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14423 SKYS END CT, CALDWELL, ID 83607-5895
(208) 696-6803
Mailing address
14423 SKYS END CT, CALDWELL, ID 83607-5895
(208) 696-6803
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/28/2021
Last updated
07/20/2024
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