PATIENT NGOY BANZA

MERIDIAN, ID
NPI1790649721
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2025-12-13
Last Update Date2025-12-13
Business Address
PATIENT NGOY BANZA
2020 N INTERLACHEN WAY
MERIDIAN, ID 83646-1011
Phone number: 208-964-0441
Mailing Address
PATIENT NGOY BANZA
2020 N INTERLACHEN WAY
MERIDIAN, ID 83646-1011
Phone number: 208-964-0441
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