Individual
JONATHAN READ HUGHES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
24425 COWBOY LN, MIDDLETON, ID 83644-5449
(208) 965-7023
Mailing address
24425 COWBOY LN, MIDDLETON, ID 83644-5449
(208) 965-7023
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
100301
ID
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/19/2011
Last updated
10/29/2015
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