Individual
GERI VIALPANDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4923 SHEPPARD ST, CHUBBUCK, ID 83202-2540
(208) 589-5788
Mailing address
4923 SHEPPARD ST, CHUBBUCK, ID 83202-2540
(208) 589-5788
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
343062
ID
Other
Enumeration date
09/16/2014
Last updated
09/16/2014
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