ELIZABETH RAE LAGAZO

IDAHO FALLS, ID
NPI1437626124
Former NameELIZABETH RAE MILLER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy222Q00000X Developmental Therapist
Enumeration Date2018-10-31
Last Update Date2018-10-31
Business Address
ELIZABETH RAE LAGAZO
150 SHOUP AVE
IDAHO FALLS, ID 83402-3657
Phone number: 208-528-4071
Mailing Address
ELIZABETH RAE LAGAZO
150 SHOUP AVE
IDAHO FALLS, ID 83402-3657
Phone number: 208-528-4071
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