SearchIdaho222Q00000X

Jennifer Dedios-Coile

NPI 1467238576 · on the registry since 2023 · sole proprietor

Practice

Address
1032 Juliene Way
Moscow, ID 83843
Phone
(209) 271-2762

Registry record

Primary taxonomy
222Q00000X
222Q00000X
Also registered as
222Q00000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-09-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho