AMANDA LAND
Individual Provider (NPI-1)
Active
Social Worker
Provider Information
- NPI Number
1780525295- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 8675 W ARDENE ST, BOISE, ID, 837092601
- Phone
- (208) 780-3900
- Fax
- (208) 375-2882
Specialties & Taxonomies
Case Manager/Care Coordinator
Social Worker
Primary
All Addresses
MAILING
895 PARTRIDGE DR
MOUNTAIN HOME, ID, 836474301