LEANNE M KOVICK

CALDWELL, ID
NPI1962804120
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224900000X Mastectomy Fitter
(Licence: ID  CFm02746)
Enumeration Date2014-09-19
Last Update Date2015-12-07
Business Address
Mrs. LEANNE M KOVICK CFm
2006 BLAINE ST
CALDWELL, ID 83605-4343
Phone number: 208-985-5404
Mailing Address
Mrs. LEANNE M KOVICK CFm
2006 BLAINE ST
CALDWELL, ID 83605-4343
Phone number: 208-985-5404