BETINA GYSSELLE TENNESSEN

MERIDIAN, ID
NPI1548044456
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence:   TSLP-5934)
Enumeration Date2023-08-22
Last Update Date2023-08-22
Business Address
BETINA GYSSELLE TENNESSEN MS
3086 W MILANO DR
MERIDIAN, ID 83646-7288
Phone number: 208-996-0552
Mailing Address
BETINA GYSSELLE TENNESSEN MS
3086 W MILANO DR
MERIDIAN, ID 83646-7288
Phone number: