Individual
EMILY JARDINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
875 PERIMETER DR, MOSCOW, ID 83844-9803
(208) 885-6111
Mailing address
1323 N 2375 W, LAYTON, UT 84041-7738
(801) 834-8633
Taxonomy
Speciality
Code
Description
License number
State
225500000X
Respiratory/Developmental/Rehabilitative Specialist/Technologist
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/21/2024
Last updated
06/29/2024
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