Individual
JODI LYNN BRAWLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1529 BELMONT ST, BOISE, ID 83706
(208) 426-5685
Mailing address
1910 UNIVERSITY DR, BOISE, ID 83725-1351
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
03/15/2012
Last updated
03/15/2012
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