Organization
IDAHO HEALTH AND HORMONES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACLYN WOLSKE (COO)
(208) 268-8851
Entity
Organization
Contact information
Practice address
2667 E GALA CT STE 110, MERIDIAN, ID 83642-2791
(208) 268-8851
(208) 391-5526
Mailing address
2667 E GALA CT STE 110, MERIDIAN, ID 83642-2791
(208) 268-8851
(208) 391-5526
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/09/2025
Last updated
01/09/2025
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