Individual
JACKIE ANN THURMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
113 E AVENUE F, JEROME, ID 83338-3132
(208) 324-2443
Mailing address
25214 RIVER RD, GRAND VIEW, ID 83624-5002
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/01/2017
Last updated
08/01/2017
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