KIMBERLY WALLIS-RUCKLOS

BOISE, ID
NPI1548446420
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: ID  SLP-1374)
Enumeration Date2008-01-10
Last Update Date2008-01-10
Business Address
-- KIMBERLY WALLIS-RUCKLOS MA CCC SLP
6855 W FAIRVIEW AVE STE. 120
BOISE, ID 83704-8502
Phone number: 208-323-8888
Mailing Address
-- KIMBERLY WALLIS-RUCKLOS MA CCC SLP
6855 W FAIRVIEW AVE STE. 120
BOISE, ID 83704-8502
Phone number: 208-323-8888
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