Individual
REYLENE MONIQUE CORTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
605 EDMUND ST, CALDWELL, ID 83605-5179
(208) 210-9660
Mailing address
605 EDMUND ST, CALDWELL, ID 83605-5179
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
10/15/2024
Last updated
10/15/2024
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