Individual
JOSHUA CARL STEPHENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
30 MAPLE DR, WEISER, ID 83672-1566
(208) 405-3763
Mailing address
616 W COMMERCIAL ST, WEISER, ID 83672-1631
(208) 405-3763
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
12/16/2019
Last updated
12/16/2019
About Stedi
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