Individual
DR. NIVEA CASTANEDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6973 W WINSTON LN, BOISE, ID 83704-8780
(775) 721-0466
Mailing address
6973 W WINSTON LN, BOISE, ID 83704-5102
(775) 721-0466
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/21/2021
Last updated
06/11/2024
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