ANTHONY LEODIS WALLS

POST FALLS, ID
NPI1639608094
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2017-06-08
Last Update Date2017-06-08
Business Address
ANTHONY LEODIS WALLS
8732 N MEYER RD
POST FALLS, ID 83854
Phone number: 208-819-4250
Mailing Address
ANTHONY LEODIS WALLS
8732 N MEYER RD
POST FALLS, ID 83854-4684
Phone number:
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