JOEL BOCANEGRA

POCATELLO, ID
NPI1245706274
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103T00000X Psychologist
(Licence: ID  PSY-203077)
Enumeration Date2018-10-17
Last Update Date2024-01-27
Business Address
JOEL BOCANEGRA PHD
357 W CENTER ST STE 3
POCATELLO, ID 83204-3236
Phone number: 208-244-0081
Mailing Address
JOEL BOCANEGRA PHD
5740 ARROWHEAD DR
POCATELLO, ID 83204-4659
Phone number: 502-689-3428
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