JACQUELYN CANNON

CHUBBUCK, ID
NPI1225996291
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: ID  5071179)
Enumeration Date2026-01-09
Last Update Date2026-01-09
Business Address
JACQUELYN CANNON
240 W BURNSIDE AVE STE D
CHUBBUCK, ID 83202-4703
Phone number: 208-904-1112
Mailing Address
JACQUELYN CANNON
240 W BURNSIDE AVE STE D
CHUBBUCK, ID 83202-4703
Phone number:
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