CANDICE CHESSUM

BOISE, ID
NPI1194193334
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2251X0800X Physical Therapist, Orthopedic
(Licence: ID  PT-4201)
Enumeration Date2015-09-04
Last Update Date2015-09-04
Business Address
-- CANDICE CHESSUM
1109 W MYRTLE ST
BOISE, ID 83702-6970
Phone number: 208-489-4331
Mailing Address
-- CANDICE CHESSUM
323 W VILLAGE LN
BOISE, ID 83702-6225
Phone number: 818-590-1559
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