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1184787764
DIANA MENCHACA
BOISE, ID
NPI
1184787764
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: ID PSY202310)
Enumeration Date
2006-12-18
Last Update Date
2022-01-07
Business Address
Dr. DIANA MENCHACA Ph.D.
3324 ELDER ST
BOISE, ID 83705-4713
Phone number: 208-333-0008
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Mailing Address
Dr. DIANA MENCHACA Ph.D.
3324 ELDER ST
BOISE, ID 83705-4713
Phone number: 208-333-0008
Copy
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