Individual
DR. CHRISTINE MALDONADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2076 S. EAGLE ROAD, MERIDIAN, ID 83642
(208) 955-7334
Mailing address
2601 N BOGUS BASIN RD, BOISE, ID 83702-0909
(208) 489-8465
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/02/2014
Last updated
04/02/2014
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