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Individual

TERRI JONES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
13420 W. MEADOWLARK LANE, POCATELLO, ID 83204-7008
(208) 232-1579
Mailing address
13420 W. MEADOWLARK LANE, POCATELLO, ID 83204-7008

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8050007
ID
05
8050008
ID
05
8075904
ID
Enumeration date
05/16/2007
Last updated
07/09/2007
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  • EDI platform