LACEY RICHARDSON

LEWISTON, ID
NPI1700468824
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: ID  DH-3647-RST)
Enumeration Date2021-04-27
Last Update Date2021-04-27
Business Address
LACEY RICHARDSON
3326 4TH ST STE 1
LEWISTON, ID 83501-4455
Phone number: 208-746-2646
Mailing Address
LACEY RICHARDSON
726 PRESTON AVE
LEWISTON, ID 83501-4619
Phone number: 208-790-6575