Individual
RICHARD SAUL SANTILLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
495 S MERIDIAN ST, BLACKFOOT, ID 83221-2653
(208) 680-4665
Mailing address
495 S MERIDIAN ST, BLACKFOOT, ID 83221-2653
(208) 680-4665
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
CFH-10428
ID
Other
Enumeration date
07/16/2025
Last updated
07/16/2025
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