NPI 1114590395

Jaelyn Davina Oxley

Practitioner Independent Duty Corpsman Weiser, ID

Practice location

Address: 30 Maple Dr, Weiser, ID 83672-1566
Phone: (951) 907-5212

Registered specialties

Independent Duty Corpsman Primary

Other Service Providers Taxonomy 1710I1002X

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Registry record

NPI: 1114590395
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Jul 2021
Record last updated: 23 Jul 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.