Individual
MR. VICTOR ALEXIS HALLER - CRUZ JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
630 ADDISON AVE W, TWIN FALLS, ID 83301-5491
(208) 736-5048
Mailing address
630 ADDISON AVE W, TWIN FALLS, ID 83301-5491
(208) 736-5048
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
MS
ID
Other
Enumeration date
03/04/2026
Last updated
03/04/2026
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