Individual
MS. JACQUELINE DE LA PAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3307 CALDWELL BLVD STE 104, NAMPA, ID 83651-6403
(208) 465-4833
(208) 467-2654
Mailing address
3307 CALDWELL BLVD STE 104, NAMPA, ID 83651-6403
(208) 465-4833
(208) 467-2654
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
ID
Other
Enumeration date
04/02/2024
Last updated
04/02/2024
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