Individual
DR. KARLY RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
9328 W OVERLAND RD, BOISE, ID 83709-2505
(208) 570-0557
Mailing address
9328 W OVERLAND RD, BOISE, ID 83709-2505
(208) 570-0557
Taxonomy
Speciality
Code
Description
License number
State
111NP0017X
Pediatric Chiropractor
Primary
CHIA-2006
ID
Other
Enumeration date
03/09/2021
Last updated
03/09/2021
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