Individual
ROSA ISELA GUTIERREZ-HOSKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
2280 AMERICAN LEGION BLVD, MOUNTAIN HOME, ID 83647-3142
(208) 696-7189
Mailing address
8070 JONES CT, MOUNTAIN HOME AFB, ID 83648-1096
(956) 236-9357
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH-4320
ID
Other
Enumeration date
08/23/2022
Last updated
08/23/2022
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