Individual
LAISA M ASKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8125 S LEGOLAS PL, BOISE, ID 83709-7388
(208) 859-8340
Mailing address
8125 S LEGOLAS PL, BOISE, ID 83709-7388
(208) 859-8340
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
01/27/2021
Last updated
01/27/2021
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