JENNIFER ELAINE VINYARD

LEWISTON, ID
NPI1568284800
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: WA  PT-60044955)
Enumeration Date2024-10-28
Last Update Date2024-10-28
Business Address
JENNIFER ELAINE VINYARD
1250 IDAHO ST
LEWISTON, ID 83501-1965
Phone number: 208-799-5219
Mailing Address
JENNIFER ELAINE VINYARD
1250 IDAHO ST
LEWISTON, ID 83501-1965
Phone number: 208-799-5219