Individual
MISS KATE RYAN WILHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1905 S TOPAZ WAY STE 100, MERIDIAN, ID 83642-4477
(208) 518-0870
(800) 513-7773
Mailing address
1835 W BEACON LIGHT RD, EAGLE, ID 83616-2419
(208) 577-1094
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/22/2024
Last updated
01/22/2024
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