Individual
JOVANE L. SCHWECKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CST
Contact information
Practice address
2500 W A ST STE 201, MOSCOW, ID 83843-6000
(208) 883-2828
(208) 882-2179
Mailing address
2500 W A ST STE 201, MOSCOW, ID 83843-6000
(208) 883-2828
(208) 882-2179
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
ST00000625
WA
Other
Enumeration date
09/01/2022
Last updated
09/01/2022
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