JENNIFER NICOLE HIETALA

MERIDIAN, ID
NPI1356788145
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: ID  SLP-1881)
Enumeration Date2013-06-03
Last Update Date2013-06-03
Business Address
Mrs. JENNIFER NICOLE HIETALA MS, CCC-SLP
3525 E LOUISE DR STE 255
MERIDIAN, ID 83642-6303
Phone number: 208-489-5099
Mailing Address
Mrs. JENNIFER NICOLE HIETALA MS, CCC-SLP
7295 S SHADOW MOSS AVE
BOISE, ID 83709-7395
Phone number:
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