Individual
BRYAN HEWETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
HIS
Contact information
Practice address
211 W MAIN ST, EMMETT, ID 83617-2937
(208) 369-4307
Mailing address
PO BOX 425, FRUITLAND, ID 83619-0425
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
HA-5268
ID
Other
Enumeration date
07/13/2022
Last updated
07/13/2022
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