Jonas Dethman
Jonas Dethman is a Home Health Aide in Eagle, Idaho. Practices as a sole proprietor. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
239 Winged Foot PlEagle, ID 83616-5265
Phone: (208) 473-0493
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Home Health Aide (primary) | Taxonomy 374U00000X |
|---|
Record details
| NPI number | 1063184554 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | October 2, 2021 |
| Last updated in NPPES | October 2, 2021 |
| Certification date | October 2, 2021 |
| Mailing address | 239 Winged Foot Pl, Eagle, ID 83616-5265 |
Other providers in Eagle
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Jonathan W Loosle
1472 E Iron Eagle Dr, Eagle, ID 83616-6598 · (208) 577-1188