Individual
DANIELLE HAMMUDEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1905 S TOPAZ WAY # 100, MERIDIAN, ID 83642-4477
(208) 812-5929
Mailing address
11271 W FITZWILLIAM LOOP, NAMPA, ID 83651-5051
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/09/2024
Last updated
09/09/2024
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