Individual
ANNIKA ELIZABETH ROE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS.
Contact information
Practice address
449 S FITNESS PL, EAGLE, ID 83616-6828
(208) 957-6301
(208) 957-6301
Mailing address
449 S FITNESS PL, EAGLE, ID 83616-6828
(208) 957-6301
(208) 957-6301
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
ID
Other
Enumeration date
09/04/2024
Last updated
09/04/2024
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