LAURA TAVENNER

RIGBY, ID
NPI1730623836
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: ID  SLP-1499)
Enumeration Date2016-12-07
Last Update Date2016-12-07
Business Address
-- LAURA TAVENNER
3421 E 200 N
RIGBY, ID 83442-5401
Phone number: 208-709-3610
Mailing Address
-- LAURA TAVENNER
3421 E 200 N
RIGBY, ID 83442-5401
Phone number: 208-709-3610
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