Individual
RENEE MAGNESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1373 S BAKER LN, POST FALLS, ID 83854-4609
(208) 516-1514
Mailing address
1373 S BAKER LN, POST FALLS, ID 83854-4609
(208) 516-1514
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/18/2024
Last updated
03/18/2024
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