Individual
JASMINE TELFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
550 DEER MEADOW CT APT 2, MOSCOW, ID 83843-8303
(208) 596-2654
Mailing address
550 DEER MEADOW CT APT 2, MOSCOW, ID 83843-8303
(208) 596-2654
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
000000011763
ID
Other
Enumeration date
07/22/2014
Last updated
07/22/2014
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