JACKIE L KENNEDY

TWIN FALLS, ID
NPI1467272013
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: ID  10114)
Enumeration Date2024-10-16
Last Update Date2024-10-16
Business Address
JACKIE L KENNEDY Bachelors, LPN
479 POLK ST # B4
TWIN FALLS, ID 83301-4850
Phone number: 208-339-1756
Mailing Address
JACKIE L KENNEDY Bachelors, LPN
479 POLK ST # B4
TWIN FALLS, ID 83301-4850
Phone number: 208-339-1756
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