Search › Idaho › 103TS0200X
Jessica Wilson-Lucero, ED.S, NCSP
NPI 1023622321 · on the registry since 2020 · sole proprietor
Practice
- Address
- 395 1/2 Willard Ave
Pocatello, ID 83201 - Phone
- (208) 240-4063
Registry record
- Primary taxonomy
- 103TS0200X
103TS0200X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-09-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho