Individual
BETH DUENES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1904 JENNIE LEE DR, IDAHO FALLS, ID 83404-6159
(208) 974-5200
Mailing address
1904 JENNIE LEE DR, IDAHO FALLS, ID 83404-6159
(208) 974-5200
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
ID
Other
Enumeration date
11/05/2025
Last updated
11/05/2025
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