NPI 1356702518
Bonita Hafer
Practice location
- Address
- 2604 16th Ave, Lewiston, ID 83501-3539
- Phone
- (208) 799-3460
Registered specialties
Developmental Therapist
Primary
Registry record
- NPI
- 1356702518
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 16 Mar 2016
- Record last updated
- 2 Jan 2019
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.