KRISILEE KAY CRUZ

IDAHO FALLS, ID
NPI1790166122
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: ID  10228)
Enumeration Date2015-06-11
Last Update Date2015-06-11
Business Address
-- KRISILEE KAY CRUZ ISAS
2275 W BROADWAY ST STE G
IDAHO FALLS, ID 83402-2902
Phone number: 208-524-7400
Mailing Address
-- KRISILEE KAY CRUZ ISAS
2275 W BROADWAY ST STE G
IDAHO FALLS, ID 83402-2902
Phone number: 208-524-7400
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