LACEY DELILAH SLADE

JEROME, ID
NPI1932766052
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: ID  PTA-6147)
Enumeration Date2019-05-23
Last Update Date2019-05-23
Business Address
LACEY DELILAH SLADE PTA
128 5TH AVE W
JEROME, ID 83338-1863
Phone number: 208-324-3090
Mailing Address
LACEY DELILAH SLADE PTA
3550 S 2100 E
WENDELL, ID 83355-3529
Phone number:
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