JORDAN WAVEREK

BOISE, ID
NPI1306260997
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: ID  SLP-2281)
Enumeration Date2014-02-18
Last Update Date2014-02-18
Business Address
Miss JORDAN WAVEREK M.S. CCC-SLP
600 N ROBBINS RD
BOISE, ID 83702-4565
Phone number: 208-884-9120
Mailing Address
Miss JORDAN WAVEREK M.S. CCC-SLP
600 N ROBBINS RD
BOISE, ID 83702-4565
Phone number: 208-884-9120
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