Individual
MS. YOLANDA RODRIGUEZ-VALDIVIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2850 OLYMPUS DR, POCATELLO, ID 83201
(208) 239-3815
(218) 239-3814
Mailing address
2850 OLYMPUS DR, POCATELLO, ID 83201
(208) 239-3815
(218) 239-3814
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M10385
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1093701351
—
ID
05
—
807241700
—
ID
Enumeration date
09/22/2005
Last updated
12/28/2023
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