KATHLEEN L LACASSE

MOUNTIAN HOME AFB, ID
NPI1538802830
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1710I1003X Military Health Care Provider, Independent Duty Medical Technicians
Enumeration Date2022-04-15
Last Update Date2023-06-26
Business Address
Miss KATHLEEN L LACASSE IDMT
90 HOPE DRIVE BLDG 6000
MOUNTIAN HOME AFB, ID 83648
Phone number: 208-828-7401
Mailing Address
Miss KATHLEEN L LACASSE IDMT
90 HOPE DRIVE BLDG 6000
MOUNTIAN HOME AFB, ID 83648
Phone number: 860-921-6527