Individual
JASMINE LIZETH MAGANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1224 1ST ST S STE 302, NAMPA, ID 83651-3963
(208) 495-4358
Mailing address
11639 W RANA DR, NAMPA, ID 83686-6776
(208) 477-8976
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-37198
—
Other
Enumeration date
06/25/2024
Last updated
06/25/2024
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