SearchIdaho376J00000X

Jo Henson1

NPI 1548320252 · on the registry since 2006 · sole proprietor

Practice

Address
2020 Ua Ave Sp 14
Emmett, ID 83617
Phone
(208) 362-6273

Registry record

Primary taxonomy
376J00000X
376J00000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-07-08

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