Individual
KAY CEE DIOUF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1408 BURRELL AVE, LEWISTON, ID 83501-5849
(208) 340-1812
Mailing address
1408 BURRELL AVE, LEWISTON, ID 83501-5849
(208) 340-1812
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/15/2021
Last updated
01/15/2021
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