MCKAELA LAVERTY

CALDWELL, ID
NPI1639890833
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: ID  AT-692)
Enumeration Date2022-09-06
Last Update Date2022-09-06
Business Address
MCKAELA LAVERTY
2313 IOWA AVE
CALDWELL, ID 83605-5437
Phone number: 503-709-2025
Mailing Address
MCKAELA LAVERTY
2313 IOWA AVE
CALDWELL, ID 83605-5437
Phone number: 503-709-2025
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