Individual
ALEXANDRA RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, SLP
Contact information
Practice address
1460 ELK CREEK DR, IDAHO FALLS, ID 83404-8237
(208) 709-1097
Mailing address
3655 MAIBEN ST APT 14, AMMON, ID 83406-7950
(208) 709-1097
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
05/12/2023
Last updated
05/12/2023
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