Individual
DEANDRE JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1111 S ORCHARD ST STE 110, BOISE, ID 83705
(208) 919-4692
Mailing address
4369 E VACHERON ST, MERIDIAN, ID 83642-5428
(986) 268-3980
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
ZH475896I
ID
Other
Enumeration date
07/06/2026
Last updated
07/06/2026
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