Individual
KARINE MAYNARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3701 E LAKE FOREST DR, BOISE, ID 83716-6999
(208) 854-6320
Mailing address
3701 E LAKE FOREST DR, BOISE, ID 83716-6999
(208) 854-6320
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-2926
ID
Other
Enumeration date
09/03/2014
Last updated
06/03/2016
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