DIANNE LYNN NIKAKIS

BOISE, ID
NPI1669080008
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: ID  OTA-2045)
Enumeration Date2020-07-22
Last Update Date2020-07-22
Business Address
DIANNE LYNN NIKAKIS
1410 S BROADWAY AVE
BOISE, ID 83706-3706
Phone number: 208-949-3481
Mailing Address
DIANNE LYNN NIKAKIS
3533 E WARM CREEK AVE
NAMPA, ID 83686-6689
Phone number: 916-687-1442
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