KORENE D MAYO

BOISE, ID
NPI1538359815
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: ID  A-025)
Enumeration Date2007-08-01
Last Update Date2007-08-01
Business Address
-- KORENE D MAYO ATC, LAT
1188 UNIVERSITY DR
BOISE, ID 83706-3009
Phone number: 208-336-8250
Mailing Address
-- KORENE D MAYO ATC, LAT
1188 UNIVERSITY DR
BOISE, ID 83706-3009
Phone number: 208-336-8250