Individual
REBECCA L TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
210 W GEORGIA AVE, SUITE 100, NAMPA, ID 83686-5688
(208) 468-5915
(208) 463-3044
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-2222
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AUD1089
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1730116419
—
ID
Enumeration date
06/27/2006
Last updated
04/26/2013
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