Individual
LEILANI L SAULLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16049 N BROKEN TOP DR, NAMPA, ID 83651-8724
(208) 230-9303
Mailing address
16049 N BROKEN TOP DR, NAMPA, ID 83651-8724
(208) 230-9303
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
01/04/2023
Last updated
01/04/2023
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