Jessica Stoddard, MD IN EDUCATION

NPI #1740800465 in Kuna, Idaho

Provider Information

NPI Number
1740800465
Entity Type
Individual
Name
Jessica Stoddard, MD IN EDUCATION
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Behavior Technician
Credential
MD IN EDUCATION
Enumeration Date
Apr 22, 2020
Last Updated
Apr 22, 2020

Practice Location

Address
908 S PENMARK AVE
City
Kuna
State
Idaho
ZIP Code
83634-5394
Phone
(208) 602-0400

Specialties & Taxonomy Codes

Specialty
Behavior Technician

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