Jimmy Lao

NPI #1518701275 in Ammon, Idaho

Provider Information

NPI Number
1518701275
Entity Type
Individual
Name
Jimmy Lao
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Marriage & Family Therapist
Enumeration Date
Jun 19, 2024
Last Updated
Jun 19, 2024

Practice Location

Address
2705 E 17TH ST
City
Ammon
State
Idaho
ZIP Code
83406-6601
Phone
(208) 346-7500

Specialties & Taxonomy Codes

Specialty
Marriage & Family Therapist

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