Individual
JITRUDEE PAOHENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
932 CALDWELL BLVD, NAMPA, ID 83651-1711
(208) 318-0018
Mailing address
873 E CREST RIDGE DR, MERIDIAN, ID 83642-4787
(208) 473-0998
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P8292
ID
Other
Enumeration date
01/02/2021
Last updated
01/02/2021
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