EMMA STAYDUHAR

KELLOGG, ID
NPI1164903076
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy208100000X Physical Medicine & Rehabilitation
(Licence: ID  PT3839)
Enumeration Date2018-08-28
Last Update Date2018-08-28
Business Address
EMMA STAYDUHAR
25 JACOBS GULCH RD
KELLOGG, ID 83837-2023
Phone number: 208-784-4603
Mailing Address
EMMA STAYDUHAR
25 JACOBS GULCH RD
KELLOGG, ID 83837-2023
Phone number: