Individual
MRS. RENEE JOY STEVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
149 MOUNTAIN VIEW LN, GRANGEVILLE, ID 83530-5354
(208) 507-1687
Mailing address
149 MOUNTAIN VIEW LN, GRANGEVILLE, ID 83530-5354
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
08/08/2017
Last updated
08/08/2017
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