Individual
TROY JAQUES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
459 LOCUST ST N, SUITE 100, TWIN FALLS, ID 83301-7353
(208) 293-5430
Mailing address
459 LOCUST ST N, SUITE 100, TWIN FALLS, ID 83301-7353
(208) 293-5430
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA-1575
ID
Other
Enumeration date
01/09/2014
Last updated
01/09/2014
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