Individual
RACHEL WALLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
102 E 14TH ST, MCCAMMON, ID 83250-1680
(208) 957-3010
Mailing address
102 E 14TH ST, MCCAMMON, ID 83250-1680
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
04/13/2026
Last updated
04/13/2026
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