JORDAN DEE VANDER DOES

AMMON, ID
NPI1366972051
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
Enumeration Date2017-06-14
Last Update Date2017-06-14
Business Address
JORDAN DEE VANDER DOES
2705 E 17TH ST
AMMON, ID 83406
Phone number: 208-346-7500
Mailing Address
JORDAN DEE VANDER DOES
2705 E 17TH ST
AMMON, ID 83406-6601
Phone number: