Individual
DR. JEREMY J. GAURUDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
761 THORNTON ST., SUITE A, POST FALLS, ID 83854
(208) 640-1737
Mailing address
761 THORNTON ST., SUITE A, POST FALLS, ID 83854
(208) 640-1737
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA-1246
ID
Other
Enumeration date
06/21/2007
Last updated
07/08/2007
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