ALISHA D STATEN

IDAHO FALLS, ID
NPI1336956697
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy222Q00000X Developmental Therapist
Enumeration Date2024-12-11
Last Update Date2025-09-29
Business Address
ALISHA D STATEN
4121 N LIVINGSTON AVE
IDAHO FALLS, ID 83401-1666
Phone number: 307-203-9028
Mailing Address
ALISHA D STATEN
4121 N LIVINGSTON AVE
IDAHO FALLS, ID 83401-1666
Phone number: 307-203-9028