Individual
DR. RONDA L. MATTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
1004 13TH AVE S, NAMPA, ID 83651-4621
(208) 461-4227
(208) 461-4227
Mailing address
1004 13TH AVE S, NAMPA, ID 83651-4621
(208) 461-4227
(208) 461-4227
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA-1005
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010141494
REGENCE BLUE SHIELD OF ID
ID
01
—
C2979
BLUE CROSS OF IDAHO
ID
Enumeration date
11/02/2006
Last updated
07/08/2007
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