Most Relevant Information
Provider Data
| NPI Number: | 1003339359 |
| Provider Name: | BENNETT RACHEL MUNOZ |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: | 36743 |
Most Important Dates
| Enumeration Date: | 07/19/2017 |
| Last Updated: | 07/19/2017 |
Provider Practice Location
1529 BELMONT STREET
BOISE
ID
83706
Practice Location Phone/Fax
| Phone: | 2084261459 |
| Fax: |
Provider Mailing Location
3518 N 36TH ST
BOISE
ID
837034614
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |