Individual
KRISTY LYN ARUTYUNOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
3950 RIDGEVIEW CIR, AMMON, ID 83406-4655
(208) 390-9085
Mailing address
3950 RIDGEVIEW CIR, AMMON, ID 83406-4655
(120) 839-0908
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
CFH-4998
ID
Other
Enumeration date
03/31/2023
Last updated
03/31/2023
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