Individual
JOSEPH RASMUSSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2397 EAGLE DR APT 101, AMMON, ID 83406-5745
(925) 451-0029
Mailing address
2397 EAGLE DR APT 101, AMMON, ID 83406-5745
(925) 451-0029
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
IDTPID013261
—
ID
Enumeration date
01/04/2019
Last updated
01/04/2019
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