Individual
LANA MARIE WEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
631 N 200 E STE A, REXBURG, ID 83440-3599
(208) 356-6975
Mailing address
116 W 3500 N, REXBURG, ID 83440-3215
(208) 356-6975
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
11/02/2017
Last updated
11/02/2017
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