TONIA C GRANTHAM

BOISE, ID
NPI1295994648
Former NameTONIA C THOMASON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: ID  9888)
Enumeration Date2008-06-02
Last Update Date2008-06-02
Business Address
Mrs. TONIA C GRANTHAM LPN
500 W FORT ST
BOISE, ID 83702-4501
Phone number: 208-422-1393
Mailing Address
Mrs. TONIA C GRANTHAM LPN
1408 W BLAINE AVE
NAMPA, ID 83651-7676
Phone number: 208-466-8758