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NPI Code Detail

MEDICARE: MS. AMAYA AURORA EIGUREN M.A., L.P.C.

MEDICARE: MS. AMAYA AURORA EIGUREN M.A., L.P.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training ProgramLPC-3736.ID

General Provider Information

NPI Number : 1548454432
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. AMAYA AURORA EIGUREN M.A., L.P.C.
Provider Business Mailing Address
First Line : 3801 KOOTENAI ST
Second Line :
City : BOISE
State : ID
Zip : 83705-2143
Country : US
Telephone Number : 208-598-1103
Fax Number :
Provider Business Practice Location Address
First Line : 740 WARM SPRINGS AVE
Second Line :
City : BOISE
State : ID
Zip : 83712-6420
Country : US
Telephone Number : 208-343-7797
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/04/2007
Last Update Date : 10/23/2007

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