Mrs. Jacquelyne Renee Anton, NBC-HWCANDMS
Mrs. Jacquelyne Renee Anton, NBC-HWCANDMS is an Other Technician in Boise, Idaho. Practices as a sole proprietor. Licensed in Idaho.
- Licensed in
- ID
- In the registry since
- 2015
- Specialties on file
- 2
Practice location Address checks out
4100 E Wildhorse LnBoise, ID 83712-7593
Phone: (704) 608-1568
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Health & Wellness Coach (primary) | Taxonomy 171400000X · Licence ID-A3435452 (ID) |
|---|---|
| Other Technician | Taxonomy 247200000X · Licence PSG-055 (ID) |
Record details
| NPI number | 1720450067 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | NBC-HWCANDMS |
| Sole proprietor | Yes |
| NPI enumerated | October 27, 2015 |
| Last updated in NPPES | January 24, 2022 |
| Certification date | January 24, 2022 |
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