Individual
RUBEN CARMONA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1318 W HANLEY AVE, COEUR D ALENE, ID 83815-8638
(208) 765-0688
Mailing address
1318 W HANLEY AVE, COEUR D ALENE, ID 83815-8638
(208) 765-0688
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/31/2025
Last updated
10/31/2025
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