Individual
JADONNA DORSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2680 DESERT DR, IDAHO FALLS, ID 83404-6829
(310) 689-4252
Mailing address
2680 DESERT DR, IDAHO FALLS, ID 83404-6829
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
89655
CA
183500000X
Pharmacist
P11320
ID
Other
Enumeration date
08/20/2024
Last updated
08/20/2024
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