NPI 1265270649

Thomas Walker, HOUSINGPROVIDER

Practitioner Religious Nonmedical Practitioner Jerome, ID

Practice location

Address: 212 6th Ave W, Jerome, ID 83338-1834
Phone: (208) 316-4881
Mailing address: PO Box 749, Jerome, ID 83338-5483

Registered specialties

Religious Nonmedical Practitioner Primary

Nursing Service Related Providers Taxonomy 374K00000X

Other Religious Nonmedical Practitioner providers in Idaho →

Registry record

NPI: 1265270649
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Jul 2024
Record last updated: 18 Jul 2024

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.