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Individual

JACKLYN ACKERMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2430 PARTRIDGE LOOP, POST FALLS, ID 83854-4944
(208) 964-3357
Mailing address
2430 PARTRIDGE LOOP, POST FALLS, ID 83854-4944
(208) 964-3357

Taxonomy

Speciality
Code
Description
License number
State
372500000X
Chore Provider
372600000X
Adult Companion
374U00000X
Home Health Aide
Primary

Other

Enumeration date
06/26/2012
Last updated
06/26/2012
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