Individual
JAKE HOFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
201 W MAIN ST STE 4B, MEDFORD, OR 97501-2734
(609) 558-7511
Mailing address
201 W MAIN ST STE 4B, MEDFORD, OR 97501-2734
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/02/2018
Last updated
03/02/2018
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