Andrea Loban

NPI #1902205230 in Victor, Idaho

Provider Information

NPI Number
1902205230
Entity Type
Individual
Name
Andrea Loban
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Day Training, Developmentally Disabled Services
Enumeration Date
Aug 22, 2014
Last Updated
Aug 22, 2014

Practice Location

Address
5049 FOX CREEK HOLLOW
City
Victor
State
Idaho
ZIP Code
83455-0000
Phone
(208) 201-3467

Specialties & Taxonomy Codes

Specialty
Day Training, Developmentally Disabled Services

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