REAGAN E FERNLEY

HOMEDALE, ID
NPI1881459543
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2081S0010X Physical Medicine & Rehabilitation, Sports Medicine
(Licence: ID  8554)
Enumeration Date2024-02-20
Last Update Date2024-02-20
Business Address
REAGAN E FERNLEY PTA
134 E IDAHO AVE
HOMEDALE, ID 83628-5003
Phone number: 208-337-3254
Mailing Address
REAGAN E FERNLEY PTA
1217 S BENEWAH ST
NAMPA, ID 83686-2868
Phone number: 651-788-0664