LAURA KASALLIS

BOISE, ID
NPI1255090189
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163WP2201X Registered Nurse, Ambulatory Care
(Licence: ID  29906)
Enumeration Date2021-12-08
Last Update Date2021-12-08
Business Address
LAURA KASALLIS
500 W FORT ST
BOISE, ID 83702-4501
Phone number: 208-422-7421
Mailing Address
LAURA KASALLIS
10717 W CATMINT DR
STAR, ID 83669-6205
Phone number: 214-725-9142
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