Individual
LEILA AYERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7719 W RYGATE DR, BOISE, ID 83714-6804
(210) 439-9887
Mailing address
1445 CHELSEY CIR, MOUNTAIN HOME, ID 83647-4633
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
11/08/2023
Last updated
11/08/2023
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