Individual
DR. JESSICA ANNE HILLAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
1218 9TH ST STE 2, RUPERT, ID 83350-2207
(208) 312-0957
Mailing address
1218 9TH ST STE 2, RUPERT, ID 83350-2207
(208) 312-0957
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AUD4312
ID
Other
Enumeration date
05/28/2020
Last updated
05/28/2020
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