Individual
JEFFREY PUFNOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.AC.
Contact information
Practice address
101 N 4TH AVE STE 101B, SANDPOINT, ID 83864-1359
(208) 254-1188
Mailing address
6162 EUREKA RD, SAGLE, ID 83860-8837
(208) 254-1188
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
ACU-370
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ACU-370
ACUPUNCTURE LICENSE
ID
Enumeration date
09/03/2019
Last updated
08/19/2021
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