COLETTE ELAINE D'AMBROSIO

BOISE, ID
NPI1184011421
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: ID  SLP-1445)
Enumeration Date2015-04-24
Last Update Date2015-04-24
Business Address
-- COLETTE ELAINE D'AMBROSIO
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-2078
Mailing Address
-- COLETTE ELAINE D'AMBROSIO
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-2078
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