Individual
DR. JOEL THEODORE JAUREGUITO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1352 TROY RD, MOSCOW, ID 83843-3995
(208) 882-1100
Mailing address
1352 TROY RD, MOSCOW, ID 83843-3995
(208) 882-1100
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
22726
CA
111NS0005X
Sports Physician Chiropractor
B553
NV
111NS0005X
Sports Physician Chiropractor
Primary
CHIA-1263
ID
Other
Enumeration date
03/25/2009
Last updated
03/25/2009
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