JADE FORBUSH

POCATELLO, ID
NPI1205516184
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2085U0001X Radiology, Diagnostic Ultrasound
(Licence: ID  194823)
Enumeration Date2023-07-24
Last Update Date2023-07-24
Business Address
JADE FORBUSH RDMS
1334 N MAIN ST
POCATELLO, ID 83204-2610
Phone number: 208-539-7399
Mailing Address
JADE FORBUSH RDMS
1978 BENGAL VIEW DR
POCATELLO, ID 83201-4994
Phone number: 208-539-7399
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