Individual
LORENIA RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1254 MELODY DR, IDAHO FALLS, ID 83402-1638
(208) 970-0299
Mailing address
1254 MELODY DR, IDAHO FALLS, ID 83402-1638
(208) 970-0299
Taxonomy
Speciality
Code
Description
License number
State
385HR2065X
Child Physical Disabilities Respite Care
Primary
—
—
Other
Enumeration date
05/11/2023
Last updated
05/12/2023
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