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Jordan Bellucci, AUD

NPI 1376154799 · on the registry since 2020

Practice

Address
172 2nd St S
Nampa, ID 83651
Phone
(208) 385-3260
Clinicians at this address
10

Registry record

Primary taxonomy
231H00000X
231H00000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-12-06

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