Individual
JACLYN JAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
3148 S SIDURI AVE, MERIDIAN, ID 83642-5045
(208) 571-4175
Mailing address
3148 S SIDURI AVE, MERIDIAN, ID 83642-5045
(208) 571-4175
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH3604
ID
Other
Enumeration date
11/12/2025
Last updated
11/12/2025
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