MARIZZA SHOUP

BURLEY, ID
NPI1043480403
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
(Licence: ID  8075217)
Enumeration Date2008-03-01
Last Update Date2008-03-01
Business Address
Ms. MARIZZA SHOUP
1358 ALBION AVE
BURLEY, ID 83318-1818
Phone number: 208-878-4155
Mailing Address
Ms. MARIZZA SHOUP
1358 ALBION AVE
BURLEY, ID 83318-1818
Phone number: 208-878-4155