Individual
JOLYN GARCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
616 S 10TH AVE, POCATELLO, ID 83201-4806
(775) 375-8015
Mailing address
616 S 10TH AVE, POCATELLO, ID 83201-4806
(775) 375-8015
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/11/2020
Last updated
02/11/2020
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