Individual
MRS. RONDA MARIE CODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
73 DORTHA ST, BLACKFOOT, ID 83221-1902
(208) 240-1135
Mailing address
73 DORTHA ST, BLACKFOOT, ID 83221-1902
(208) 240-1135
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
ID
Other
Enumeration date
04/22/2026
Last updated
04/22/2026
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