SAMUEL JACOB CHRISTIANSEN

IDAHO FALLS, ID
NPI1295602845
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2025-10-20
Last Update Date2025-10-20
Business Address
SAMUEL JACOB CHRISTIANSEN BS
2265 W BROADWAY ST
IDAHO FALLS, ID 83402-2996
Phone number: 208-524-7400
Mailing Address
SAMUEL JACOB CHRISTIANSEN BS
549 S 4TH W APT 26
REXBURG, ID 83440-2323
Phone number:
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