Individual
MRS. SANDRA CANTU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
406 12TH ST, RUPERT, ID 83350-1201
(208) 436-8846
Mailing address
406 12TH ST, RUPERT, ID 83350-1201
(208) 436-8846
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
ID
Other
Enumeration date
06/16/2025
Last updated
06/16/2025
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