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Individual

ASHLEY S HUDSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MK, LAT, ATC

Contact information

Practice address
1910 UNIVERSITY DR, BOISE, ID 83725-1020
(208) 426-4448
Mailing address
1910 UNIVERSITY DR, BOISE, ID 83725-1020

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
AT435
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
AT-435
IDAHO STATE BOARD OF MEDICINE
ID
Enumeration date
08/12/2014
Last updated
08/12/2014
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