Individual
MS. ROYA NEMATOLLAHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
1012 12TH AVE S, NAMPA, ID 83651-4661
(208) 999-0793
(208) 475-3091
Mailing address
17263 W LINDEN ST, CALDWELL, ID 83607-9209
(208) 999-0793
(208) 475-3091
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC-386
ID
171100000X
Acupuncturist
AC6100
CA
Other
Enumeration date
05/22/2007
Last updated
04/29/2025
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