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Individual

CRYSTAL MARIE PRICE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1905 S TOPAZ WAY # 100, MERIDIAN, ID 83642-4477
(208) 518-0870
Mailing address
1905 S TOPAZ WAY # 100, MERIDIAN, ID 83642-4477
(208) 518-0870

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
09/28/2021
Last updated
09/28/2021
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