Individual
VALERIA CARDONA LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSFA
Contact information
Practice address
801 POLE LINE RD W, TWIN FALLS, ID 83301-5810
(208) 814-1000
Mailing address
3805 N 1900 E, FILER, ID 83328-5243
(208) 749-4176
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
214587
ID
Other
Enumeration date
01/31/2026
Last updated
01/31/2026
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