SAMANTHA LAYNE HANNA

MOSCOW, ID
NPI1720618960
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist Athletic Trainer
(Licence: ID  661)
Enumeration Date2020-01-15
Last Update Date2020-01-15
Business Address
SAMANTHA LAYNE HANNA MS, LAT, ATC
875 PERIMETER DRIVE COLLEGE OF EDUCATION 123
MOSCOW, ID 83844-0001
Phone number: 904-200-7646
Mailing Address
SAMANTHA LAYNE HANNA MS, LAT, ATC
251 SOUTHVIEW AVE APT 304
MOSCOW, ID 83843-5094
Phone number: 904-200-7646
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