Individual
JOLYNN LESA GILMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2293 E 3300 S, JEROME, ID 83338-4005
(208) 749-7572
Mailing address
2293 E 3300 S, JEROME, ID 83338-4005
(208) 749-7572
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
12/08/2021
Last updated
12/10/2021
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