SHAWNEE B LEGARRETA

GOODING, ID
NPI1235533217
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy324500000X Substance Abuse Rehabilitation Facility
(Licence: ID  N45891)
Enumeration Date2014-10-20
Last Update Date2014-10-20
Business Address
SHAWNEE B LEGARRETA RN
605 11TH AVE E
GOODING, ID 83330-5368
Phone number: 208-934-8461
Mailing Address
SHAWNEE B LEGARRETA RN
605 11TH AVE E
GOODING, ID 83330-5368
Phone number: 208-934-8461
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