Individual
CYNTHIA ROOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
600 E STATE ST STE 100, EAGLE, ID 83616-6082
(208) 912-5682
Mailing address
1082 KLAMATH AVE, NYSSA, OR 97913-5339
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
L-135008
ID
Other
Enumeration date
02/21/2025
Last updated
02/21/2025
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