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Individual

CARA FITZGERALD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
900 PENDLEBURY LN, BLACKFOOT, ID 83221-3472
(208) 681-5333
Mailing address
900 PENDLEBURY LN, BLACKFOOT, ID 83221-3472
(208) 681-5333

Taxonomy

Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
ID
376J00000X
Homemaker
Primary
ID

Other

Enumeration date
08/24/2023
Last updated
08/24/2023
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