RANDALL BENNETT

LEWISTON, ID
NPI1194547422
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2024-10-28
Last Update Date2024-10-28
Business Address
RANDALL BENNETT
1720 18TH AVE
LEWISTON, ID 83501-4047
Phone number: 208-746-4097
Mailing Address
RANDALL BENNETT
1720 18TH AVE
LEWISTON, ID 83501-4047
Phone number: 208-746-4097