Individual
JORDAHN SAIGE WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
875 PERIMETER DR # MS 2401, MOSCOW, ID 83844-9803
(208) 794-7145
Mailing address
1673 S LEVICK ST APT 3, MOSCOW, ID 83843-4447
(208) 794-7145
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
ID
Other
Enumeration date
06/01/2018
Last updated
06/01/2018
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