MISS Jordan Alexis St. Martin

NPI #1639910680 in Payette, Idaho

Provider Information

NPI Number: 1639910680
Entity Type: Individual
Name: MISS Jordan Alexis St. Martin
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Jun 4, 2024
Last Updated: Jun 4, 2024

Practice Location

Address: 250 S MAIN ST
City: Payette
State: Idaho
ZIP Code: 83661-2853
Phone: (208) 405-0020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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