Individual
BOBETTE RUTH GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
1036 E. YAQUINA BAY DRIVE, NAMPA, ID 83686
(208) 989-7008
(208) 376-4778
Mailing address
1036 E. YAQUINA BAY DR., NAMPA, ID 83686
(208) 989-7008
(208) 376-4778
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
ACU-122
ID
Other
Enumeration date
06/19/2007
Last updated
07/16/2024
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