specializing in adult companion in Blackfoot, Idaho

NPI: 1720863939

Provider Type

2

Practice Locations

Mailing Location

900 PENDLEBURY LN

BLACKFOOT, ID 83221

📞 2086815533

Practice Location

900 PENDLEBURY LN

BLACKFOOT, ID 83221

📞 2086815533

Provider Information

Gender:
Sole Proprietor:No
Enumeration Date:8/28/2023
Last Updated:12/4/2023

Credentials

Primary Credential:
null null null - Adult Companion in Blackfoot, Idaho