JANICE LYNETTE FOUNTAIN

BOISE, ID
NPI1609391952
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: ID  882)
Enumeration Date2017-08-08
Last Update Date2022-07-21
Business Address
JANICE LYNETTE FOUNTAIN PT
4110 N LA FONTANA WAY
BOISE, ID 83702-1559
Phone number: 208-867-9869
Mailing Address
JANICE LYNETTE FOUNTAIN PT
4110 N LA FONTANA WAY
BOISE, ID 83702-1559
Phone number: 208-867-9869
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