ROBERT JACKSON HAGUE BI-RBT
Individual Provider (NPI-1)
Active
Case Manager/Care Coordinator
Provider Information
- NPI Number
1982493110- Provider Type
- Individual Provider (NPI-1)
- Credentials
- BI-RBT
- Status
- Active
Contact & Location
- Address
- 495 N SHILLING AVE, BLACKFOOT, ID, 832212336
- Phone
- (435) 744-3535
Specialties & Taxonomies
Case Manager/Care Coordinator
Primary
All Addresses
MAILING
495 N SHILLING AVE
BLACKFOOT, ID, 832212336