Individual
GARNET GINGKO EMPYRION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
7905 N MEADOWLARK WAY STE CANDD, COEUR D ALENE, ID 83815-5041
(208) 762-1250
Mailing address
7905 N MEADOWLARK WAY STE CANDD, COEUR D ALENE, ID 83815-5041
(208) 762-1250
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
ID
Other
Enumeration date
06/01/2026
Last updated
06/01/2026
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