Individual
JESSICA CRISTOBAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
245 N 3RD E, MOUNTAIN HOME, ID 83647-2734
(208) 587-8255
Mailing address
740 S 13TH E, MOUNTAIN HOME, ID 83647-3530
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
ID
Other
Enumeration date
08/20/2019
Last updated
10/16/2023
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