Individual
REBECCA CABELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
325 MARTIN ST, TWIN FALLS, ID 83301-4563
(208) 732-7101
Mailing address
1672 VISTA CT, TWIN FALLS, ID 83301-5660
(208) 320-6320
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
62143
ID
Other
Enumeration date
10/27/2023
Last updated
10/27/2023
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