ANDREW PIANTANIDA

POCATELLO, ID
NPI1700292836
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
(Licence: ID  LSW 2192)
Enumeration Date2014-07-09
Last Update Date2014-07-09
Business Address
-- ANDREW PIANTANIDA LSW 2192
209 E LEWIS ST
POCATELLO, ID 83201-6465
Phone number: 208-233-7693
Mailing Address
-- ANDREW PIANTANIDA LSW 2192
209 E LEWIS ST
POCATELLO, ID 83201-6465
Phone number:
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