RUSTY JAMES WATTIER

CALDWELL, ID
NPI1134965197
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2024-07-08
Last Update Date2024-07-08
Business Address
Mr. RUSTY JAMES WATTIER SUDA
709 DEARBORN ST
CALDWELL, ID 83605-4116
Phone number: 208-606-9494
Mailing Address
Mr. RUSTY JAMES WATTIER SUDA
709 DEARBORN ST
CALDWELL, ID 83605-4116
Phone number: 208-606-9494
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