JAMES ROBERT LEONG

IDAHO FALLS, ID
NPI1912696220
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: ID  SLP-2563)
Enumeration Date2023-05-03
Last Update Date2023-05-03
Business Address
JAMES ROBERT LEONG M.S./CCC-SLP
1460 ELK CREEK DR
IDAHO FALLS, ID 83404-8237
Phone number: 208-243-5869
Mailing Address
JAMES ROBERT LEONG M.S./CCC-SLP
1318 SAND CREEK ST
IDAHO FALLS, ID 83404-8222
Phone number: 208-243-5869