Individual
DR. JAKE W SANFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
749 N OVERLAND AVE, BURLEY, ID 83318-3440
(208) 260-0917
(208) 261-5004
Mailing address
2200 MACS AVE, HEYBURN, ID 83336-9734
(208) 670-5450
(208) 261-5004
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA-1817
ID
Other
Enumeration date
02/23/2018
Last updated
09/09/2024
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