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MR. AARON VINCENT VIZCARRA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
229 S 7TH ST, SAINT MARIES, ID 83861-1803
(208) 245-5551
(208) 245-5246
Mailing address
229 S 7TH ST, SAINT MARIES, ID 83861-1803
(208) 245-5551
(208) 245-5246

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
77187
ID
367500000X
Certified Registered Nurse Anesthetist
AP60475875
WA

Other

Enumeration date
07/16/2014
Last updated
11/15/2023
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