NICHOLAS RYAN GENSBURGER

CALDWELL, ID
NPI1669179495
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122400000X Denturist
(Licence: ID  LD-136)
Enumeration Date2023-02-13
Last Update Date2023-02-13
Business Address
NICHOLAS RYAN GENSBURGER LD
2124 BLAINE ST
CALDWELL, ID 83605-4426
Phone number: 208-454-0311
Mailing Address
NICHOLAS RYAN GENSBURGER LD
2124 BLAINE ST
CALDWELL, ID 83605-4426
Phone number: 208-454-0311