DARRICK TAYLOR LACEY

IDAHO FALLS, ID
NPI1316820293
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy175T00000X Peer Specialist
Enumeration Date2025-07-29
Last Update Date2025-07-29
Business Address
DARRICK TAYLOR LACEY
3400 S 5TH W
IDAHO FALLS, ID 83402-7309
Phone number: 208-220-8327
Mailing Address
DARRICK TAYLOR LACEY
218 CEMETERY RD UNIT 10
POCATELLO, ID 83202-7061
Phone number: 208-220-8327
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