Individual
JAN STUDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
803 HARRISON ST, TWIN FALLS, ID 83301-3925
(208) 678-0974
(208) 677-4002
Mailing address
803 HARRISON ST, TWIN FALLS, ID 83301-3925
(208) 678-0974
(208) 677-4002
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
03/28/2016
Last updated
03/28/2016
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