Individual
JUDE GAREK MAKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4943 N 29TH E, IDAHO FALLS, ID 83401-1314
(307) 257-5487
Mailing address
PO BOX 20310 UNIT 55984, CHEYENNE, WY 82003-7007
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/13/2023
Last updated
10/13/2023
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