Individual
MR. JAMES RYAN SNOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
424 N 15TH AVE, POCATELLO, ID 83201-4013
(208) 242-8861
Mailing address
424 N 15TH AVE, POCATELLO, ID 83201-4013
(208) 242-8861
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
05/25/2023
Last updated
05/25/2023
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