Individual
JAYCI ROEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT-BC
Contact information
Practice address
6127 S MOONFIRE WAY, BOISE, ID 83709-6574
(208) 789-1299
Mailing address
PO BOX 6044, BOISE, ID 83707-6044
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
—
—
Other
Enumeration date
05/12/2017
Last updated
05/12/2017
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