Individual
RIGOBERTO VASQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
926 E 800 N, SHELLEY, ID 83274-5303
(208) 520-4473
Mailing address
926 E 800 N, SHELLEY, ID 83274-5303
(208) 520-4473
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
ID
Other
Enumeration date
01/27/2014
Last updated
01/27/2014
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