SHALLECE JACOBS

BOISE, ID
NPI1104328897
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy174H00000X Health Educator
Enumeration Date2018-03-08
Last Update Date2018-03-08
Business Address
SHALLECE JACOBS
419 N 11TH ST
BOISE, ID 83702-5332
Phone number: 208-344-5502
Mailing Address
SHALLECE JACOBS
1177 W STATE ST
BOISE, ID 83702-5346
Phone number: 208-344-5501