JADE FORBUSH

POCATELLO, ID
NPI1205516184
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2085U0001X Radiology, Diagnostic Ultrasound
(Licence: ID  194823)
Additional Taxonomies2471S1302X Radiologic Technologist, Sonography
Enumeration Date2023-07-24
Last Update Date2025-02-11
Business Address
JADE FORBUSH RDMS
1334 N MAIN ST
POCATELLO, ID 83204-2610
Phone number: 208-539-7399
Mailing Address
JADE FORBUSH RDMS
3515 SOMERSET DR
POCATELLO, ID 83201-2776
Phone number: 208-539-7399