Individual
RACHELLE ALICE JARAMILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
486 W FIRST ST, GLENNS FERRY, ID 83623-0266
(208) 366-7416
(208) 366-2595
Mailing address
PO BOX 266, GLENNS FERRY, ID 83623-0266
(208) 366-7416
(208) 366-2595
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA-771
ID
Other
Enumeration date
10/14/2008
Last updated
10/14/2008
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