Individual
JEROME F INGHILTERRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1256 E KATIE CT, COEUR D ALENE, ID 83815-9295
(208) 277-7184
Mailing address
1256 E KATIE CT, COEUR D ALENE, ID 83815-9295
(208) 277-7184
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA-696
ID
Other
Enumeration date
04/04/2014
Last updated
04/04/2014
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