VICKI J LARSON

NAMPA, ID
NPI1376701367
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy311ZA0620X Custodial Care Facility, Adult Care Home
Enumeration Date2008-05-28
Last Update Date2008-05-28
Business Address
Ms. VICKI J LARSON
2914 E POWERLINE RD
NAMPA, ID 83687-4920
Phone number: 208-353-0329
Mailing Address
Ms. VICKI J LARSON
2914 E POWERLINE RD
NAMPA, ID 83687-4920
Phone number: 208-353-0329