Search › Idaho › 183500000X
Jeff Jausoro
NPI 1891081790 · on the registry since 2011 · sole proprietor
Practice
- Address
- 528 N Main St
Mountain Home, ID 83647 - Phone
- (208) 587-3365
- Fax
- (208) 587-1545
- Organisation at this address
- Albertsons Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-06-20
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