Individual
MRS. MARIA DE JESUS GUILLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20196 PURPLE SAGE RD, CALDWELL, ID 83607-8756
(208) 440-6740
Mailing address
20196 PURPLE SAGE RD, CALDWELL, ID 83607-8756
(208) 440-6740
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
CFH6200
ID
Other
Enumeration date
05/05/2025
Last updated
05/05/2025
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