Individual
MISS ELENA CORRINE FLORES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
220 W GEORGIA AVE, NAMPA, ID 83686-2835
(425) 368-3262
(800) 513-7773
Mailing address
1008 EVERETT ST APT 1, CALDWELL, ID 83605-4176
(208) 936-8578
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/27/2024
Last updated
02/27/2024
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