ANDREA RUSSELL

RIGBY, ID
NPI1770342420
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy222Q00000X Developmental Therapist
Additional Taxonomies251S00000X Community/Behavioral Health
Enumeration Date2024-03-15
Last Update Date2025-05-11
Business Address
ANDREA RUSSELL
1200 JAYLEE DR UNIT 1
RIGBY, ID 83442-5273
Phone number: 208-419-9383
Mailing Address
ANDREA RUSSELL
1200 JAYLEE DR UNIT 1
RIGBY, ID 83442-5273
Phone number: 208-419-9383