Individual
RASHEL CUSHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
47 E DEPOT ST, WESTON, ID 83286-4908
(208) 747-3374
Mailing address
47 E DEPOT ST, WESTON, ID 83286-4908
(208) 747-3374
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A0002493
—
ID
Enumeration date
09/04/2015
Last updated
09/04/2015
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