Thomas Walker, HOUSING PROVIDER

NPI #1265270649 in Jerome, Idaho

Provider Information

NPI Number: 1265270649
Entity Type: Individual
Name: Thomas Walker, HOUSING PROVIDER
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Religious Nonmedical Practitioner
Credential: HOUSING PROVIDER
Enumeration Date: Jul 18, 2024
Last Updated: Jul 18, 2024

Practice Location

Address: 212 6TH AVE W
City: Jerome
State: Idaho
ZIP Code: 83338-1834
Phone: (208) 316-4881

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Religious Nonmedical Practitioner	374K00000X	Primary

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