CHEYENNE SUMMER LILLIS

BOISE, ID
NPI1376392506
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2024-05-20
Last Update Date2025-09-11
Business Address
CHEYENNE SUMMER LILLIS MAT, LAT, ATC, NREMT
6165 W EMERALD ST
BOISE, ID 83704-8613
Phone number: 208-302-3900
Mailing Address
CHEYENNE SUMMER LILLIS MAT, LAT, ATC, NREMT
33 E IDAHO AVE UNIT 319B
MERIDIAN, ID 83642-1144
Phone number: