DAVID CHARLES HOMER

IDAHO FALLS, ID
NPI1649336488
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
(Licence: ID  LSW-26798)
Enumeration Date2006-12-28
Last Update Date2007-07-08
Business Address
Mr. DAVID CHARLES HOMER LSW
586 1ST ST
IDAHO FALLS, ID 83401-3963
Phone number: 208-529-2920
Mailing Address
Mr. DAVID CHARLES HOMER LSW
3274 1ST ST APT 4
IDAHO FALLS, ID 83401-4504
Phone number: 208-524-4615