MA'LADY JANE KYNASTON

EAGLE, ID
NPI1811720121
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: ID  PTA-4121)
Enumeration Date2024-08-22
Last Update Date2024-08-25
Business Address
MA'LADY JANE KYNASTON PTA
775 S RIVERSHORE LN STE 220
EAGLE, ID 83616-5783
Phone number: 208-629-1030
Mailing Address
MA'LADY JANE KYNASTON PTA
2019 S ARCADIA ST
BOISE, ID 83705-3335
Phone number:
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