Individual
JAKUB PIJOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
875 PERIMETER DR, MOSCOW, ID 83844-9803
(208) 885-6394
Mailing address
875 PERIMETER DR, MOSCOW, ID 83844-9803
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT-587
ID
Other
Enumeration date
10/02/2017
Last updated
10/02/2017
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