JESSE TELLEZ HERNANDEZ

FORT HALL, ID
NPI1184099558
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: ID  NP-1663A)
Enumeration Date2015-12-10
Last Update Date2022-03-30
Business Address
Dr. JESSE TELLEZ HERNANDEZ NP-C
BUILDING 70 NAVAJO DRIVE
FORT HALL, ID 83203
Phone number: 208-478-3987
Mailing Address
Dr. JESSE TELLEZ HERNANDEZ NP-C
PO BOX 4414
POCATELLO, ID 83205-4414
Phone number: 208-219-9927
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