Individual
JESSIKA AN DALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
203 S DAISY ST, SALMON, ID 83467-4709
(208) 339-5248
Mailing address
203 S DAISY ST, SALMON, ID 83467-4709
(208) 756-5711
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
07/20/2022
Last updated
07/20/2022
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