Individual
NATHANIEL STONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6305 W OVERLAND RD, BOISE, ID 83709-3029
(208) 405-0972
Mailing address
1800 N COLE RD APT B107, BOISE, ID 83704-7378
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/20/2024
Last updated
03/20/2024
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