SYDNEY JADE POORBAUGH

MOSCOW, ID
NPI1902535552
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208100000X Physical Medicine & Rehabilitation
(Licence: ID  PT-7109)
Enumeration Date2022-06-08
Last Update Date2022-06-08
Business Address
SYDNEY JADE POORBAUGH DPT
640 N EISENHOWER ST
MOSCOW, ID 83843-9588
Phone number: 208-882-6560
Mailing Address
SYDNEY JADE POORBAUGH DPT
2602 BLUE MOUNTAIN CT
CLARKSTON, WA 99403-1693
Phone number:
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