Individual
JAMI HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1720 N WESTGATE DR, BOISE, ID 83704-7164
(208) 334-0793
Mailing address
12335 W RED SPRUCE, BOISE, ID 83713-1423
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
03/07/2016
Last updated
03/07/2016
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