KENADEE ELLEFSEN

BOISE, ID
NPI1689506735
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: ID  9981107)
Enumeration Date2026-06-02
Last Update Date2026-06-02
Business Address
KENADEE ELLEFSEN
1835 N WILDWOOD ST
BOISE, ID 83713-5146
Phone number: 877-200-8152
Mailing Address
KENADEE ELLEFSEN
894 EVERETT PL APT 3
REXBURG, ID 83440-5450
Phone number: