JAY T THIEMANN

MOSCOW, ID
NPI1730254285
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy246ZS0410X Specialist/Technologist, Other, Surgical Technologist
(Licence: WA  ST00002460)
Enumeration Date2006-11-21
Last Update Date2007-07-08
Business Address
-- JAY T THIEMANN ST
623 S MAIN ST SUITE 6
MOSCOW, ID 83843-2983
Phone number: 208-883-2828
Mailing Address
-- JAY T THIEMANN ST
623 S MAIN ST SUITE 6
MOSCOW, ID 83843-2983
Phone number: 208-883-2828
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