Individual
TANNA JANE DALLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RESPITE
Contact information
Practice address
2705 E 17TH ST, AMMON, ID 83406-6669
(208) 346-7500
(208) 346-7501
Mailing address
2705 E 17TH ST, AMMON, ID 83406-6669
(208) 346-7500
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
03/31/2025
Last updated
03/31/2025
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