Jonathan W Loosle Valid NPI
Individual provider · Home Health Aide · Eagle, ID
- NPI
- 1629317078
- Type
- Individual (Type 1)
- Primary specialty
- Home Health Aide
- Specialty group
- Nursing Service Related Providers
- Taxonomy code
- 374U00000X
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2013-02-05
- Last updated
- 2013-02-05
Practice location
1472 E Iron Eagle Dr
Eagle, ID 83616-6598
(208) 577-1188