Individual
HAO YAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
921 S 8TH AVE STOP 8253, POCATELLO, ID 83209-0002
(208) 282-4726
Mailing address
921 S 8TH AVE STOP 8253, POCATELLO, ID 83209-0002
(208) 282-4726
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
61521
KS
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/08/2022
Last updated
08/08/2022
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