SUSAN DEVINE

BOISE, ID
NPI1376973826
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy156FX1900X Technician/Technologist Orthoptist
(Licence: ID  OT-259)
Enumeration Date2013-11-20
Last Update Date2013-11-20
Business Address
SUSAN DEVINE OT/L
7960 W RIFLEMAN ST #155
BOISE, ID 83704-9064
Phone number: 208-377-8899
Mailing Address
SUSAN DEVINE OT/L
7960 W RIFLEMAN ST #155
BOISE, ID 83704-9064
Phone number: 208-377-8899