ILLA STICE

BOISE, ID
NPI1144635129
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: ID  OTA-1151)
Enumeration Date2014-06-27
Last Update Date2014-06-27
Business Address
-- ILLA STICE
3812 N TAMARACK DR
BOISE, ID 83703-4556
Phone number: 307-287-0356
Mailing Address
-- ILLA STICE
3812 N TAMARACK DR
BOISE, ID 83703-4556
Phone number:
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