| Genevieve Wilkerson Hansen | |
|
146 N 4th W Rexburg ID 83440-1415 | |
| (707) 815-3858 | |
| Not Available |
| Full Name | Genevieve Wilkerson Hansen |
|---|---|
| Speciality | Behavior Technician |
| Location | 146 N 4th W, Rexburg, Idaho |
| Authorized Official Name and Position | Genevieve Marie Wilkerson Hansen (INTERVENTION PROFESSIONAL) |
| Authorized Official Contact | 7078153858 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Genevieve Wilkerson Hansen 146 N 4th W Rexburg ID 83440-1415 Ph: (707) 815-3858 | Genevieve Wilkerson Hansen 146 N 4th W Rexburg ID 83440-1415 Ph: (707) 815-3858 |
| NPI Number | 1558030999 |
|---|---|
| Provider Enumeration Date | 09/09/2021 |
| Last Update Date | 09/09/2021 |
| Certification Date | 09/09/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558030999 | NPI | - | NPPES |
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