TERESSA LINDA DURHAM

HAUSER, ID
NPI1942368543
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy376J00000X Homemaker
(Licence: ID  806464400)
Enumeration Date2006-12-05
Last Update Date2007-07-08
Business Address
Mrs. TERESSA LINDA DURHAM
11186 N HAUSER LAKE RD
HAUSER, ID 83854-5638
Phone number: 208-457-1515
Mailing Address
Mrs. TERESSA LINDA DURHAM
11186 N HAUSER LAKE RD
HAUSER, ID 83854-5638
Phone number: 208-457-1515