LACEY MEGORDEN

BOISE, ID
NPI1881157949
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy175T00000X Peer Specialist
Enumeration Date2019-04-07
Last Update Date2019-04-07
Business Address
LACEY MEGORDEN BS
4222 W EMERALD ST
BOISE, ID 83706-2037
Phone number: 208-605-3663
Mailing Address
LACEY MEGORDEN BS
4222 W EMERALD ST
BOISE, ID 83706-2037
Phone number: 208-605-3663