Individual
MAIRIN TOIREASA ORLANDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1905 S TOPAZ WAY UNIT 100, MERIDIAN, ID 83642-4477
(208) 417-7971
Mailing address
9310 W CAROUSEL ST, BOISE, ID 83709-0500
(619) 771-5784
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
ID
Other
Enumeration date
11/07/2024
Last updated
11/08/2024
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