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Organization

HEIDA LTD. CO.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. LISA MARIE HEIDA BS-SLP (SPEECH THERAPIST AIDE)
(208) 420-9773
Entity
Organization

Contact information

Practice address
2327 EASTBROOKE RD, TWIN FALLS, ID 83301-7302
(208) 420-9773
Mailing address
2327 EASTBROOKE RD, TWIN FALLS, ID 83301-7302
(208) 420-9773

Taxonomy

Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA-1234
ID

Other

Enumeration date
08/21/2008
Last updated
08/21/2008
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