Individual
ALEX BAYLESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3007 6TH AVE, LEWISTON, ID 83501-3307
(208) 305-7244
Mailing address
3007 6TH AVE, LEWISTON, ID 83501-3307
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
07/31/2023
Last updated
07/31/2023
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