Individual
NEVAEH MARIE MADRIGAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
220 W GEORGIA AVE, NAMPA, ID 83686-2835
(425) 407-5835
Mailing address
1712 CAMBRIDGE ST, CALDWELL, ID 83607-8138
(831) 228-2747
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/18/2023
Last updated
09/18/2023
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