Individual
JASON HOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
840 E PLUM ST, MOSES LAKE, WA 98837-1874
(509) 765-1217
(509) 765-4124
Mailing address
840 E PLUM ST, MOSES LAKE, WA 98837-1874
(509) 765-1217
(509) 765-4124
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CO60168654
WA
Other
Enumeration date
02/05/2015
Last updated
02/05/2015
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