Olive Mbulambo Shamakwete

NPI #1033885124 in Boise, Idaho

Provider Information

NPI Number: 1033885124
Entity Type: Individual
Name: Olive Mbulambo Shamakwete
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Aug 18, 2021
Last Updated: Aug 18, 2021

Practice Location

Address: 2067 S CORONADO WAY
City: Boise
State: Idaho
ZIP Code: 83709-2597
Phone: (208) 570-9605

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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