Individual
MRS. JANA LEE MILTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS-CCC, SLP
Contact information
Practice address
190 E BANNOCK ST, BOISE, ID 83712-6241
(559) 859-6044
Mailing address
14183 W GUINNESS CT, BOISE, ID 83713-1266
(559) 859-6044
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-3192
ID
Other
Enumeration date
08/08/2017
Last updated
08/08/2017
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