JACLYN JOHNSON JOLLEY

TWIN FALLS, ID
NPI1184144305
Professional NameJACLYN JOHNSON JOLLEY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: ID  PA-1520)
Enumeration Date2017-06-20
Last Update Date2024-06-10
Business Address
JACLYN JOHNSON JOLLEY PA
775 POLE LINE RD W STE 312
TWIN FALLS, ID 83301-5823
Phone number: 208-814-8500
Mailing Address
JACLYN JOHNSON JOLLEY PA
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: