Individual
MISS MARICRUZ BARAJAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
250 MELBOURNE DR, IDAHO FALLS, ID 83401-4428
(208) 403-8371
Mailing address
250 MELBOURNE DR, IDAHO FALLS, ID 83401-4428
(208) 403-8371
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
05/27/2009
Last updated
05/27/2009
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