Individual
KARA MARIE NIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6289 S HOLLYHOCK WAY, BOISE, ID 83716-7077
(208) 755-8037
Mailing address
6289 S HOLLYHOCK WAY, BOISE, ID 83716-7077
(208) 755-8037
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
TSLP-3127
ID
Other
Enumeration date
12/13/2016
Last updated
12/13/2016
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