SUSSETTE HIERS NEWSOM

BOISE, ID
NPI1275983769
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: ID  561)
Enumeration Date2016-06-15
Last Update Date2016-06-15
Business Address
-- SUSSETTE HIERS NEWSOM
2173 S GEKELER LN
BOISE, ID 83706-4337
Phone number: 208-333-8751
Mailing Address
-- SUSSETTE HIERS NEWSOM
2173 S GEKELER LN
BOISE, ID 83706-4337
Phone number: 208-333-8751
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