Individual
MRS. CIARA MARIE GILMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12577 W IRVING ST, BOISE, ID 83713-2203
(208) 407-9677
Mailing address
12577 W IRVING ST, BOISE, ID 83713-2203
(208) 407-9677
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/08/2019
Last updated
10/08/2019
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