ANSLEY KATHRYN SMALLEN, LAT, ATC
Student, Health Care at University Dr, Boise, ID

License number
Idaho AT-473
Category
Student, Health Care
Type
Student in an Organized Health Care Education/Training Program
Address
Address
1910 University Dr, Boise, ID 83725
Phone
(210) 416-1998
National Provider ID: 1730598350
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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