Individual
JUSTIN DAVID JESPERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
16730 N MARKETPLACE BLVD, NAMPA, ID 83687-7909
(208) 466-4600
Mailing address
16730 N MARKETPLACE BLVD, NAMPA, ID 83687-7909
(208) 466-4600
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA-1910
ID
Other
Enumeration date
08/13/2009
Last updated
03/09/2021
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