Jonas Dethman Valid NPI
Individual provider · Home Health Aide · Eagle, ID
- NPI
- 1063184554
- Type
- Individual (Type 1)
- Primary specialty
- Home Health Aide
- Specialty group
- Nursing Service Related Providers
- Taxonomy code
- 374U00000X
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2021-10-02
- Last updated
- 2021-10-02
Practice location
239 Winged Foot Pl
Eagle, ID 83616-5265
(208) 473-0493