JACKIE J WHITESELL

BOISE, ID
NPI1346367984
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2084N0400X Psychiatry & Neurology, Neurology
(Licence: ID  M-11022)
Enumeration Date2007-03-26
Last Update Date2014-04-23
Business Address
Dr. JACKIE J WHITESELL MD
1072 N LIBERTY ST SUITE 303
BOISE, ID 83704-2800
Phone number: 208-367-2800
Mailing Address
Dr. JACKIE J WHITESELL MD
3340 E GOLDSTONE WAY
MERIDIAN, ID 83642-1026
Phone number: 208-367-5170
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