IDELIA LABRA

POCATELLO, ID
NPI1508226408
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy222Q00000X Developmental Therapist
Enumeration Date2016-03-04
Last Update Date2016-03-04
Business Address
-- IDELIA LABRA
421 MEMORIAL DR
POCATELLO, ID 83201-4008
Phone number: 208-234-7952
Mailing Address
-- IDELIA LABRA
421 MEMORIAL DR
POCATELLO, ID 83201-4008
Phone number: