Individual
MRS. JACQUELYN GINTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSRT
Contact information
Practice address
5709 E EFFRA ST, NAMPA, ID 83687-7611
(661) 437-0499
Mailing address
5709 E EFFRA ST, NAMPA, ID 83687-7611
(661) 437-0499
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
LRT-2262
ID
174H00000X
Health Educator
LRT-2262
ID
2083P0901X
Public Health & General Preventive Medicine Physician
LRT-2262
ID
227900000X
Registered Respiratory Therapist
LRT-2262
ID
2279G1100X
General Care Registered Respiratory Therapist
Primary
LRT-2262
ID
Other
Enumeration date
05/31/2023
Last updated
06/07/2023
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