Individual
CHARITY ANGELIQUE JONES-BERUBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1047 S WELLS ST, MERIDIAN, ID 83642-7997
(208) 297-3428
Mailing address
1047 S WELLS ST, MERIDIAN, ID 83642-7997
(208) 297-3428
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
09/08/2025
Last updated
09/08/2025
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