Search › Idaho › 207P00000X
Jenna Cacchillo
NPI 1538653373 · on the registry since 2018 · sole proprietor
Practice
- Address
- 3102 N Devlin Ave
Meridian, ID 83646 - Phone
- (208) 890-0034
Registry record
- Primary taxonomy
- 207P00000X
207P00000X
- Also registered as
- 390200000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-06-08
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