Andrea Loban

Individual provider Developmentally Disabled Services Day Training Agency · NPI 1902205230

Andrea Loban is a Developmentally Disabled Services Day Training Agency in Victor, Idaho. Practices as a sole proprietor. Registered with an NPI since 2014.

In the registry since: 2014

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Practice location Address checks out

5049 Fox Creek Holw
Victor, ID 83455-0000
Phone: (208) 201-3467

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Developmentally Disabled Services Day Training Agency (primary)	Taxonomy 251C00000X

Record details

NPI number	1902205230
Entity type	Individual (Type 1)
Gender	Female
Sole proprietor	Yes
NPI enumerated	August 22, 2014
Last updated in NPPES	August 22, 2014
Mailing address	5049 Fox Creek Hollow, Victor, ID 83455-0000