JIMMY LAO

AMMON, ID
NPI1518701275
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: ID  9818)
Enumeration Date2024-06-19
Last Update Date2024-06-19
Business Address
JIMMY LAO
2705 E 17TH ST
AMMON, ID 83406-6601
Phone number: 208-346-7500
Mailing Address
JIMMY LAO
3098 E CHASEWOOD DR
AMMON, ID 83406-4852
Phone number: