MCKENZIE J MOON

IDAHO FALLS, ID
NPI1821875287
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: ID  OTA2800)
Enumeration Date2023-09-11
Last Update Date2023-09-11
Business Address
MCKENZIE J MOON
1460 ELK CREEK DR
IDAHO FALLS, ID 83404-8237
Phone number: 208-535-1286
Mailing Address
MCKENZIE J MOON
1460 ELK CREEK DR
IDAHO FALLS, ID 83404-8237
Phone number:
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