Individual
PRESTON LASLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1815 SPRUCE ST, SANDPOINT, ID 83864-2159
(435) 773-8901
Mailing address
1815 SPRUCE ST, SANDPOINT, ID 83864-2159
(435) 773-8901
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT-497
ID
Other
Enumeration date
11/21/2014
Last updated
11/21/2014
About Stedi
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