Individual
MRS. LAILA ANN OAKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
240 W BURNSIDE AVE STE D, CHUBBUCK, ID 83202-4703
(208) 904-1112
Mailing address
4478 CHUKAR DR APT D, CHUBBUCK, ID 83202-1777
(734) 757-0189
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-4349
ID
Other
Enumeration date
06/25/2020
Last updated
06/25/2020
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