JULIA PANSEWICZ

DRIGGS, ID
NPI1336512607
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: ID  TSLP-2786)
Enumeration Date2015-11-08
Last Update Date2015-11-08
Business Address
-- JULIA PANSEWICZ
165 FRONT ST
DRIGGS, ID 83422-5445
Phone number: 208-716-2351
Mailing Address
-- JULIA PANSEWICZ
PO BOX 881
WILSON, WY 83014-0881
Phone number: 802-233-3050