LUCAS ANTHONY HENTGES

BOISE, ID
NPI1962277996
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy251S00000X Community/Behavioral Health
Enumeration Date2023-11-20
Last Update Date2023-11-20
Business Address
Mr. LUCAS ANTHONY HENTGES BS
1276 W RIVER ST STE 100
BOISE, ID 83702-7083
Phone number: 208-447-8544
Mailing Address
Mr. LUCAS ANTHONY HENTGES BS
1276 W RIVER ST STE 100
BOISE, ID 83702-7083
Phone number: