Individual
HANNAH JAGOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
220 W GEORGIA AVE, NAMPA, ID 83686-2835
(425) 386-3262
Mailing address
1607 N VERIDIAN AVE, KUNA, ID 83634-3531
(503) 314-8440
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/21/2024
Last updated
03/21/2024
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