DESIREE ANN SELF

EAGLE, ID
NPI1528630357
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2021-07-12
Last Update Date2021-07-12
Business Address
Ms. DESIREE ANN SELF MS
244 S SILVERWOOD WAY
EAGLE, ID 83616-6165
Phone number: 440-228-7161
Mailing Address
Ms. DESIREE ANN SELF MS
244 S SILVERWOOD WAY
EAGLE, ID 83616-6165
Phone number: 440-228-7161
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