Individual
PATTY ANN PUSCHMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BI
Contact information
Practice address
275 S HAYES AVE, EMMETT, ID 83617-2930
(208) 365-6057
Mailing address
701 MONTE VISTA DR TRLR 93, EMMETT, ID 83617-3773
(208) 985-6343
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/06/2023
Last updated
03/06/2023
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