Paulina Gamboa, BS

NPI #1376963637 in Ammon, Idaho

Provider Information

NPI Number: 1376963637
Entity Type: Individual
Name: Paulina Gamboa, BS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: BS
Enumeration Date: Apr 24, 2014
Last Updated: Apr 24, 2014

Practice Location

Address: 2705 E 17TH ST
City: Ammon
State: Idaho
ZIP Code: 83406-6601
Phone: (208) 431-3466

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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