Individual
MRS. JESSICA SHIRLEY GABY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.H.
Contact information
Practice address
1024 8TH ST, RUPERT, ID 83350-1306
(208) 436-0734
Mailing address
1024 8TH ST, RUPERT, ID 83350-1306
(208) 436-0734
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
1943
ID
Other
Enumeration date
07/20/2007
Last updated
12/04/2007
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