Individual
MRS. SUSAN KATHRYN RAUMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
3378 N 3300 E, KIMBERLY, ID 83341-5266
(760) 900-9280
Mailing address
3378 N 3300 E, KIMBERLY, ID 83341-5266
(760) 900-9280
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
20396
CA
235Z00000X
Speech-Language Pathologist
Primary
SLP-3856
ID
Other
Enumeration date
08/16/2019
Last updated
08/16/2019
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