Joshua Carl Stephenson

NPI #1780222190 in Weiser, Idaho

Provider Information

NPI Number
1780222190
Entity Type
Individual
Name
Joshua Carl Stephenson
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Technician - Attendant Care Provider
Enumeration Date
Dec 16, 2019
Last Updated
Dec 16, 2019

Practice Location

Address
30 MAPLE DR
City
Weiser
State
Idaho
ZIP Code
83672-1566
Phone
(208) 405-3763

Specialties & Taxonomy Codes

Specialty
Technician - Attendant Care ProviderAttendant Care Provider

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