Individual
DR. JENNIFER HOLST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
IDAHO STATE UNIVERSITY, 921 S. 8TH STOP 8116, POCATELLO, ID 83209-0001
(208) 282-3747
Mailing address
IDAHO STATE UNIVERSITY, 921 S. 8TH STOP 8116, POCATELLO, ID 83209-0001
(208) 282-3747
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AUD-1322
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002818800
—
ID
Enumeration date
07/12/2006
Last updated
05/24/2012
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