Alicia G Malan

NPI #1518662444 in Rupert, Idaho

Provider Information

NPI Number: 1518662444
Entity Type: Individual
Name: Alicia G Malan
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Developmental Therapist
Enumeration Date: Mar 31, 2023
Last Updated: Mar 31, 2023

Practice Location

Address: 1702 A ST
City: Rupert
State: Idaho
ZIP Code: 83350-1118
Phone: (208) 899-5523

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Developmental Therapist	222Q00000X	Primary

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