TIAHNA E FAIRBANKS

MOUNTAIN HOME, ID
NPI1407217987
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy222Q00000X Developmental Therapist
Enumeration Date2016-03-11
Last Update Date2016-03-11
Business Address
-- TIAHNA E FAIRBANKS BA
2420 AMERICAN LEGION BLVD
MOUNTAIN HOME, ID 83647-3146
Phone number: 208-890-6420
Mailing Address
-- TIAHNA E FAIRBANKS BA
2420 AMERICAN LEGION BLVD
MOUNTAIN HOME, ID 83647-3146
Phone number: 208-890-6420