Shallece Jacobs

NPI #1104328897 in Boise, Idaho

Provider Information

NPI Number
1104328897
Entity Type
Individual
Name
Shallece Jacobs
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Health Educator
Enumeration Date
Mar 8, 2018
Last Updated
Mar 8, 2018

Practice Location

Address
419 N 11TH ST
City
Boise
State
Idaho
ZIP Code
83702-5332
Phone
(208) 344-5502

Specialties & Taxonomy Codes

Specialty
Health Educator

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