Individual
MRS. ARACELLI RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.A.
Contact information
Practice address
1820 E 17TH ST STE 365, IDAHO FALLS, ID 83404-6497
(208) 403-2825
(208) 542-5152
Mailing address
1820 E 17TH ST STE 365, IDAHO FALLS, ID 83404-6497
(208) 403-2825
(208) 542-5152
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
8078763
ID
Other
Enumeration date
12/04/2007
Last updated
12/04/2007
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