NEY JIMMY DAVID RODRIGUEZ

POCATELLO, ID
NPI1669004594
Other NameJIMMY DAVID RODRIGUEZ
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist Athletic Trainer
Enumeration Date2020-02-08
Last Update Date2020-02-08
Business Address
NEY JIMMY DAVID RODRIGUEZ
3021 SILVERFIELD WAY
POCATELLO, ID 83201-2780
Phone number: 208-240-0411
Mailing Address
NEY JIMMY DAVID RODRIGUEZ
3021 SILVERFIELD WAY
POCATELLO, ID 83201-2780
Phone number:
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