Individual
FLOR MANCIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
110 S 161 W, RUPERT, ID 83350-9114
(208) 219-9799
Mailing address
110 S 161 W, RUPERT, ID 83350-9114
(208) 219-9799
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
ID
Other
Enumeration date
07/30/2019
Last updated
07/30/2019
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