Individual
LISA HUNTER RYDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12676 ROCKLEDGE LN, NAMPA, ID 83686-5406
(208) 617-4002
Mailing address
12676 ROCKLEDGE LN, NAMPA, ID 83686-5406
(208) 617-4002
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
CFH9078
ID
Other
Enumeration date
05/24/2023
Last updated
05/24/2023
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