Individual
JARED STUCKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1390 S MAPLE GROVE RD, BOISE, ID 83709-1610
(208) 672-0100
Mailing address
1390 S MAPLE GROVE RD, BOISE, ID 83709-1610
(306) 251-2766
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA-2373
ID
Other
Enumeration date
09/27/2023
Last updated
09/27/2023
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