Individual
JAMIE JEAN ANZALDUA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
QMHP
Contact information
Practice address
992 W IDAHO AVE, ONTARIO, OR 97914-2111
(208) 741-3336
Mailing address
992 W IDAHO AVE, ONTARIO, OR 97914-2111
(208) 741-3336
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
05/10/2022
Last updated
05/10/2022
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