Individual
DR. JESSICA RENEE STICH-HENNEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D., F-AAA
Contact information
Practice address
510 N 2ND ST, SUITE #201, BOISE, ID 83702-6077
(208) 489-4743
(208) 489-4075
Mailing address
510 N 2ND ST, SUITE #201, BOISE, ID 83702-6077
(208) 489-4743
(208) 489-4075
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AUD-1736
ID
Other
Enumeration date
11/09/2011
Last updated
11/09/2011
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