JEREMY DANIEL CHATTERTON

KIMBERLY, ID
NPI1134645013
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: ID  TSLP-3273)
Enumeration Date2017-08-22
Last Update Date2023-05-19
Business Address
JEREMY DANIEL CHATTERTON SLP
3483 E 3195 N
KIMBERLY, ID 83341-5353
Phone number: 208-751-5308
Mailing Address
JEREMY DANIEL CHATTERTON SLP
3483 E 3195 N
KIMBERLY, ID 83341-5353
Phone number: 208-751-5308