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Individual

JESSICA VILA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3372 E JENALAN, POST FALLS, ID 83854-5158
(208) 457-1314
Mailing address
416 EAST JEAN AVE, SPOKANE, WA 99217-5030

Taxonomy

Speciality
Code
Description
License number
State
283X00000X
Rehabilitation Hospital
Primary
OTA-1287
ID

Other

Enumeration date
05/01/2014
Last updated
05/01/2014
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