Individual
STEPHANIE NYLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4317 E PALM ST, MERIDIAN, ID 83646-6336
(120) 645-9414
Mailing address
4317 E PALM ST, MERIDIAN, ID 83646-6336
(206) 459-4144
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
09/11/2018
Last updated
09/11/2018
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