Individual
MARTHA MALDONADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1411 FILLMORE ST STE 600, TWIN FALLS, ID 83301-3343
(208) 933-4400
Mailing address
1411 FILLMORE ST STE 600, TWIN FALLS, ID 83301-3343
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
PA1698
ID
Other
Enumeration date
01/04/2019
Last updated
01/04/2019
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