Individual
RILEY ANGUIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
685 1ST ST, IDAHO FALLS, ID 83401-4003
(208) 932-4493
(208) 932-4582
Mailing address
685 1ST ST, IDAHO FALLS, ID 83401-4003
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
LMSW-44038
ID
Other
Enumeration date
11/21/2023
Last updated
11/21/2023
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