Individual
JESSICA LYN KNECHT ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
620 9TH ST, MIDDLETON, ID 83644-6044
(208) 585-2310
Mailing address
1090 S TWIN LAKES AVE, MIDDLETON, ID 83644-5137
(208) 724-3224
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/23/2025
Last updated
07/23/2025
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