Individual
MS. GLADYS MARIE RASCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPA-C
Contact information
Practice address
496 SHOUP AVE W, SUITE #E, TWIN FALLS, ID 83301-5043
(208) 733-2885
(208) 734-3352
Mailing address
496 SHOUP AVE W, SUITE #E, TWIN FALLS, ID 83301-5043
(120) 873-4590
(208) 734-9502
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA-199
ID
Other
Enumeration date
12/20/2007
Last updated
11/06/2008
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