LIZAROSE HANSEN

CERTIFIED FAMILY HOM specializing in specialist in Chubbuck, Idaho

NPI: 1104527118

Provider Type

1

Practice Locations

Mailing Location

5201 MESQUITE DR APT 3

CHUBBUCK, ID 83202

📞 2087050591

Practice Location

5201 MESQUITE DR APT 3

CHUBBUCK, ID 83202

📞 2087050591

Provider Information

Gender:F
Sole Proprietor:Yes
Enumeration Date:3/15/2023
Last Updated:3/15/2023

Credentials

Primary Credential:CERTIFIED FAMILY HOM
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