Individual
JANICE ELAINE GRIMALDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
645 E 5TH ST, WEISER, ID 83672-2202
(208) 549-4172
Mailing address
645 E 5TH ST, WEISER, ID 83672-2202
(208) 549-4172
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
TSLP-2366
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TSLP-2366
IDAHO SPEECH AND HEARING SERVICES BOARD
ID
Enumeration date
10/01/2013
Last updated
10/01/2013
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