Individual
JAMIE LYNN JOLLIFFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
2112 CLEVELAND BLVD, ATHLETICS, CALDWELL, ID 83605-4432
(208) 459-5052
Mailing address
2792 S LAKE VISTA LN, EAGLE, ID 83616-5421
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT-503
ID
Other
Enumeration date
08/29/2013
Last updated
08/07/2014
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