JESSICA DIANNA JACOBS

BOISE, ID
NPI1245995240
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: ID  OT-2486)
Enumeration Date2021-11-03
Last Update Date2021-11-03
Business Address
JESSICA DIANNA JACOBS
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-2222
Mailing Address
JESSICA DIANNA JACOBS
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: