Individual
ANGELA LYNN ROCKWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3857 DEER RUN DR, IDAHO FALLS, ID 83401-6801
(208) 520-5086
Mailing address
3857 DEER RUN DR, IDAHO FALLS, ID 83401-6801
(208) 520-5086
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
LSW-28561
ID
Other
Enumeration date
11/28/2023
Last updated
11/28/2023
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