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Individual

ROSA YURIKO SAUCEDO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNA

Contact information

Practice address
267 N CANYON DR, GOODING, ID 83330-5500
(208) 934-4446
(208) 934-4442
Mailing address
267 N CANYON DR, GOODING, ID 83330-5500
(208) 934-4446
(208) 934-4442

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
ID000118140808
ID

Other

Enumeration date
03/12/2018
Last updated
03/12/2018
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