Individual
MRS. ANNA RENEE RULE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
411 E EAGLEWOODS LN, EAGLE, ID 83616-5426
(208) 283-2251
Mailing address
411 E EAGLEWOODS LN, EAGLE, ID 83616-5426
(208) 283-2251
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
15399
OR
235Z00000X
Speech-Language Pathologist
SLP-2804
ID
Other
Enumeration date
07/06/2016
Last updated
07/06/2016
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