JERRY ALONZO EDWARDS

BOISE, ID
NPI1770467359
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: ID  PTA-3285)
Enumeration Date2025-08-05
Last Update Date2025-08-05
Business Address
JERRY ALONZO EDWARDS
500 W FORT ST
BOISE, ID 83702-4501
Phone number: 208-422-1368
Mailing Address
JERRY ALONZO EDWARDS
500 W FORT ST
BOISE, ID 83702-4501
Phone number:
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