HOLLY MAURINE ST. JOHN

BLACKFOOT, ID
NPI1508147562
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: ID  OT-995)
Enumeration Date2011-09-05
Last Update Date2011-09-05
Business Address
-- HOLLY MAURINE ST. JOHN MOTR/L
7 N 600 W
BLACKFOOT, ID 83221-5533
Phone number: 208-709-1200
Mailing Address
-- HOLLY MAURINE ST. JOHN MOTR/L
58 E RICH LN
BLACKFOOT, ID 83221-5804
Phone number: 208-709-1200