Individual
JESSICA PALOMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7211 W FRANKLIN RD, BOISE, ID 83709
(208) 375-4200
Mailing address
7211 W FRANKLIN RD, BOISE, ID 83709-0926
(208) 375-4200
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
3283
CA
235Z00000X
Speech-Language Pathologist
Primary
TSLP-3384
ID
Other
Enumeration date
09/28/2015
Last updated
05/15/2018
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