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Individual

MRS. JERRI A LOONEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RRT

Contact information

Practice address
500 W FORT ST, BOISE, ID 83702-4501
(208) 867-3694
Mailing address
4134 W PINE MEADOWS DR, EAGLE, ID 83616-4785
(208) 867-3694

Taxonomy

Speciality
Code
Description
License number
State
2279C0205X
Critical Care Registered Respiratory Therapist
Primary
LRT-1670
ID

Other

Enumeration date
06/29/2021
Last updated
06/29/2021
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